Provider Demographics
NPI:1720523475
Name:ORSBURN HOUSE
Entity Type:Organization
Organization Name:ORSBURN HOUSE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MR
Authorized Official - First Name:ROGER
Authorized Official - Middle Name:
Authorized Official - Last Name:CARAWAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:325-677-6815
Mailing Address - Street 1:PO BOX 1880
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79604-1880
Mailing Address - Country:US
Mailing Address - Phone:325-677-6815
Mailing Address - Fax:325-673-7829
Practice Address - Street 1:3258 VARNER DR
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79601-1175
Practice Address - Country:US
Practice Address - Phone:325-677-6815
Practice Address - Fax:325-673-7829
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DISABILITY RESOURCES INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-01-04
Last Update Date:2022-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX146268320600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities