Healthcare Provider Details

I. General information

NPI: 1922713528
Provider Name (Legal Business Name): CAMP BLESSING TEXAS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2023
Last Update Date: 09/09/2024
Certification Date: 09/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7227 CAMP BLESSING LN
BRENHAM TX
77833-2203
US

IV. Provider business mailing address

7227 CAMP BLESSING LN
BRENHAM TX
77833-2203
US

V. Phone/Fax

Practice location:
  • Phone: 281-259-5789
  • Fax:
Mailing address:
  • Phone: 281-259-5789
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code385HR2050X
TaxonomyRespite Care Camp
License Number
License Number State

VIII. Authorized Official

Name: RACHEL KRICK
Title or Position: PROGRAMS MANAGER
Credential:
Phone: 281-259-5789