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Organization

OUTSOURCE FAMILY SOLUTION LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LAKEASHA MAIDEN (CEO)
(225) 603-6889
Entity
Organization

Contact information

Practice address
19410 GREEN CHASE LN, HOUSTON, TX 77073-1842
(225) 603-6889
Mailing address
19410 GREEN CHASE LN, HOUSTON, TX 77073-1842
(225) 603-6889

Taxonomy

Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
251S00000X
Community/Behavioral Health Agency
Primary
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
385H00000X
Respite Care

Other

Enumeration date
05/24/2018
Last updated
05/24/2018
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