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Organization

CHASKA'S OUTREACH CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHAPALE WHITE (OWNER)
(469) 765-7633
Entity
Organization

Contact information

Practice address
111 OAK HOLLOW LN, RED OAK, TX 75154-4613
(469) 765-7633
Mailing address
111 OAK HOLLOW LN, RED OAK, TX 75154-4613
(469) 765-7633

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
TX

Other

Enumeration date
01/25/2016
Last updated
01/25/2016
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