Provider Demographics
NPI:1720249360
Name:OUR BLESSED ASSURANCE INC
Entity Type:Organization
Organization Name:OUR BLESSED ASSURANCE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JUDY
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:ABUNASSAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-860-3881
Mailing Address - Street 1:1915 WEYMOUTH CT
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76013
Mailing Address - Country:US
Mailing Address - Phone:817-459-4818
Mailing Address - Fax:
Practice Address - Street 1:1915 WEYMOUTH CT
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76013-4821
Practice Address - Country:US
Practice Address - Phone:817-459-4818
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-17
Last Update Date:2008-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX320900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities