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Organization
ANDERSON CHEROKEE COMMUNITY ENRICHMENT SERVICES
Active
Organization
ANDERSON CHEROKEE COMMUNITY ENRICHMENT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANNA STROM (REIMBURSEMENT COORDINATOR)
(903) 541-2577
Entity
Organization
Contact information
Practice address
1011 COLLEGE AVE, JACKSONVILLE, TX 75766-3307
(903) 589-9000
(903) 586-9200
Mailing address
1011 COLLEGE AVE, JACKSONVILLE, TX 75766-3307
(903) 589-9000
(903) 589-3443
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NULL
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
096107002
—
TX
Enumeration date
02/28/2007
Last updated
06/12/2024
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