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Organization
OUTREACH HEALTH COMMUNITY CARE SERVICES LC
Active
Organization
OUTREACH HEALTH COMMUNITY CARE SERVICES LC
Active
Parent organization
OUTREACH HEALTH CARE, INC.
Other names
Outreach Health Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
OUTREACH HEALTH CARE, INC.
Authorized official
MS. JULIE LORRAINE RYON (DIRECTOR OF ADMINISTRATIVE AND SUPP)
(512) 692-7834
Entity
Organization
Contact information
Practice address
120 W MCLAIN ST, SEYMOUR, TX 76380-2537
(940) 888-5586
(940) 888-5743
Mailing address
269 WEST RENNER PARKWAY, RICHARDSON, TX 75080
(512) 692-7834
(512) 973-8005
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
007336
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000042200
DEPT OF DISABILITY AND AGING
TX
01
—
0000681300
DEPT OF DISABILITY AND AGING
TX
01
—
0000681400
DEPT OF DISABILITY AND AGING
TX
Enumeration date
12/11/2006
Last updated
03/07/2015
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