Organization
COMMUNITY ACCESS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAURA REDMAN (CEO)
(903) 595-5644
Entity
Organization
Contact information
Practice address
2040 SHILOH RD, TYLER, TX 75703-2612
(903) 595-5644
(903) 526-0881
Mailing address
2040 SHILOH RD, TYLER, TX 75703-2612
(903) 595-5644
(903) 526-0881
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
—
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
12/01/2006
Last updated
03/14/2011
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