# FAMILY LIFE OUTREACH MINISTRY, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Family Life Ministry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326148917
- **Authorized official:** JOHNNY RAY COOK (DIRECTOR/ CEO)
- **Authorized official phone:** (972) 564-4199

## Contact information

- **Practice address:** 11990 NICOLE LN, FORNEY, TX 75126-7027
- **Practice address phone:** (972) 564-4199
- **Practice address fax:** (972) 564-4041
- **Mailing address:** 11990 NICOLE LN, FORNEY, TX 75126-7027
- **Mailing address phone:** (972) 564-4199
- **Mailing address fax:** (972) 564-4041

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 09/23/2006
- **Last updated:** 08/22/2020
