Provider Demographics
NPI:1851006241
Name:ROBBIES HOUSE INC
Entity Type:Organization
Organization Name:ROBBIES HOUSE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VONCIL
Authorized Official - Middle Name:PATRICE
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-747-6858
Mailing Address - Street 1:919 ANDOVER GLEN DR
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:TX
Mailing Address - Zip Code:77545-7971
Mailing Address - Country:US
Mailing Address - Phone:281-747-6858
Mailing Address - Fax:
Practice Address - Street 1:10815 ODYSSEY CT
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77099-4047
Practice Address - Country:US
Practice Address - Phone:832-991-0019
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-19
Last Update Date:2023-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities