Organization
CALAB, INC
Active
Other names
Blossom
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FOY ANDERSON III (VICE PRESIDENT)
(972) 647-9103
Entity
Organization
Contact information
Practice address
4209 BLOSSOM TRL, ARLINGTON, TX 76016-4302
(817) 516-7577
Mailing address
297 NW 25TH ST, GRAND PRAIRIE, TX 75050-4804
(972) 647-9103
(972) 606-4792
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
45G465
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000724502
PROVIDER NUMBER
TX
Enumeration date
01/12/2007
Last updated
12/11/2023
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