Provider Demographics
NPI:1538869490
Name:SHURRUNS HOUSE
Entity type:Organization
Organization Name:SHURRUNS HOUSE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SHAVON
Authorized Official - Middle Name:
Authorized Official - Last Name:PATTERSON
Authorized Official - Suffix:
Authorized Official - Credentials:RSPS, MHPS
Authorized Official - Phone:972-207-1604
Mailing Address - Street 1:2027 TEAGARDEN CT
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75217-8684
Mailing Address - Country:US
Mailing Address - Phone:888-234-1236
Mailing Address - Fax:
Practice Address - Street 1:7720 JUBILANT DR
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75237-3620
Practice Address - Country:US
Practice Address - Phone:972-207-1604
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-08
Last Update Date:2023-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility