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NPI Code Detail

MEDICARE: ANDERSON CHEROKEE COMMUNITY ENRICHMENT SERVICES

MEDICARE: ANDERSON CHEROKEE COMMUNITY ENRICHMENT SERVICES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251C00000XDevelopmentally Disabled Services Day Training Agency

General Provider Information

NPI Number : 1457553091
Entity Type Code : Organization
Provider Name (Legal Business Name) : ANDERSON CHEROKEE COMMUNITY ENRICHMENT SERVICES
Provider Business Mailing Address
First Line : 5656 NORTH JACKSON
Second Line :
City : JACKSONVILLE
State : TX
Zip : 75766-9641
Country : US
Telephone Number : 903-589-9000
Fax Number : 903-589-3443
Provider Business Practice Location Address
First Line : 5656 NORTH JACKSON
Second Line :
City : JACKSONVILLE
State : TX
Zip : 75766-9641
Country : US
Telephone Number : 903-589-9000
Fax Number : 903-589-3443
Authorized Official
Title or Position : REIMBURSEMENT COORDINATOR
Name : MRS. DIANNA L STROM
Credential :
Telephone Number : 903-589-9000
Provider Enumeration Date : 06/05/2007
Last Update Date : 03/31/2008

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Practice Location Address:
5656 N JACKSON ST
JACKSONVILLE, TX
75766-9641
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1497759237 — ANDERSON CHEROKEE COMMUNITY ENRICHMENT SERVICES
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1154325645 — ANDERSON CHEROKEE COMMUNITY ENRICHMENT SERVICES
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1770527350 — LESLIE Z GLOVER LPC
Practice Location Address:
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JACKSONVILLE, TX
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1558563197 — ANDERSON CHEROKEE COMMUNITY ENRICHMENT SERVICES
Practice Location Address:
5656 NORTH JACKSON
JACKSONVILLE, TX
75766-9641
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1639327877 — DENNIS RAY PHILLIPS LCSW
Practice Location Address:
5656 N JACKSON ST
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75766-9641
Practice Phone: 903-589-9000
Practice Fax: 903-589-3443

Directions to “ANDERSON CHEROKEE COMMUNITY ENRICHMENT SERVICES ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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