Organization
ANDERSON CHEROKEE COMMUNITY ENRICHMENT SERVICES
Active
Other names
ACCESS
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIANA L STROM (REIMBURSEMENT COORDINATOR)
(903) 541-2577
Entity
Organization
Contact information
Practice address
331 FOREST HILLS DR, RUSK, TX 75785-1471
(903) 683-6151
(903) 683-6151
Mailing address
1011 COLLEGE AVE, JACKSONVILLE, TX 75766-3307
(903) 589-9000
(903) 589-3443
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
45H172
TX
315P00000X
Intellectual Disabilities Intermediate Care Facility
—
TX
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000764801
—
TX
Enumeration date
06/28/2006
Last updated
05/02/2023
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