Healthcare Provider Details

I. General information

NPI: 1699085514
Provider Name (Legal Business Name): ARMED FORCES CASE MANAGEMENT SERVICES AND VETERANS OUTREACH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/13/2010
Last Update Date: 10/13/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

607B VETERANS MEMORIAL BLVD
HARKER HEIGHTS TX
76548-1390
US

IV. Provider business mailing address

PO BOX 1512
KILLEEN TX
76540-1512
US

V. Phone/Fax

Practice location:
  • Phone: 254-699-6655
  • Fax: 254-690-2131
Mailing address:
  • Phone: 254-699-6655
  • Fax: 254-690-2131

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State

VIII. Authorized Official

Name: PROF. BRIDGETTE L DAVIDSON
Title or Position: PRESIDENT
Credential: QMHP, QHP
Phone: 254-699-6655