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Organization
FAMILY OUTREACH & RESOURCE, INC.
Active
Organization
FAMILY OUTREACH & RESOURCE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARL E DAVIS SR. (CHAIRMAN)
(903) 723-7486
Entity
Organization
Contact information
Practice address
910 COURT DR, PALESTINE, TX 75803-3920
(903) 723-8294
(903) 723-6308
Mailing address
910 COURT DR, PALESTINE, TX 75803-3920
(903) 723-8294
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
119894
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000304400
PROVIDER NUMBER
TX
Enumeration date
04/03/2007
Last updated
05/17/2011
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