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Organization
OUTREACH HEALTH COMMUNITY CARE SERVICES
Active
Organization
OUTREACH HEALTH COMMUNITY CARE SERVICES
Active
Other names
Outreach Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
SHERRY CUMMINGS RN, BSN, CPHQ (DIRECTOR OF CORPORATE COMPLIANCE)
(512) 692-7810
Entity
Organization
Contact information
Practice address
1919 S SHILOH RD, SUITE 420 LB 47, GARLAND, TX 75042-8234
(972) 840-7200
(972) 840-7201
Mailing address
505 E HUNTLAND DR, SUITE 520, AUSTIN, TX 78752-3717
(512) 692-7810
(512) 973-8005
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
007339
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1015718
ICM TAS CBA REGION 3
TX
Enumeration date
05/15/2008
Last updated
05/15/2008
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