Provider Demographics
NPI:1902474513
Name:DEBORAH DIANE RITCHIE LLC
Entity Type:Organization
Organization Name:DEBORAH DIANE RITCHIE LLC
Other - Org Name:FOUR ANGELS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:DIANE
Authorized Official - Last Name:RITCHIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-821-2823
Mailing Address - Street 1:1424 REEVES RD
Mailing Address - Street 2:
Mailing Address - City:POTTSBORO
Mailing Address - State:TX
Mailing Address - Zip Code:75076-7063
Mailing Address - Country:US
Mailing Address - Phone:903-821-2823
Mailing Address - Fax:
Practice Address - Street 1:1424 REEVES RD
Practice Address - Street 2:
Practice Address - City:POTTSBORO
Practice Address - State:TX
Practice Address - Zip Code:75076-7063
Practice Address - Country:US
Practice Address - Phone:903-821-2823
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-11
Last Update Date:2022-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home