Provider Demographics
NPI:1760056667
Name:EAST TEXAS OPEN HANDS INC.
Entity Type:Organization
Organization Name:EAST TEXAS OPEN HANDS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALEXANDRIA
Authorized Official - Middle Name:
Authorized Official - Last Name:PAYNE-BLOUNT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-471-2777
Mailing Address - Street 1:PO BOX 23
Mailing Address - Street 2:
Mailing Address - City:MARSHALL
Mailing Address - State:TX
Mailing Address - Zip Code:75671-0023
Mailing Address - Country:US
Mailing Address - Phone:903-471-2777
Mailing Address - Fax:
Practice Address - Street 1:108A VELVIN DR STE A
Practice Address - Street 2:
Practice Address - City:HALLSVILLE
Practice Address - State:TX
Practice Address - Zip Code:75650-7756
Practice Address - Country:US
Practice Address - Phone:903-471-2777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-14
Last Update Date:2021-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services