Provider Demographics
NPI:1922713528
Name:CAMP BLESSING TEXAS
Entity Type:Organization
Organization Name:CAMP BLESSING TEXAS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAMS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:KRICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-259-5789
Mailing Address - Street 1:7227 CAMP BLESSING LN
Mailing Address - Street 2:
Mailing Address - City:BRENHAM
Mailing Address - State:TX
Mailing Address - Zip Code:77833-2203
Mailing Address - Country:US
Mailing Address - Phone:281-259-5789
Mailing Address - Fax:
Practice Address - Street 1:7227 CAMP BLESSING LN
Practice Address - Street 2:
Practice Address - City:BRENHAM
Practice Address - State:TX
Practice Address - Zip Code:77833-2203
Practice Address - Country:US
Practice Address - Phone:281-259-5789
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-18
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385HR2050XRespite Care FacilityRespite CareRespite Care Camp