MEDICARE: CIRCLE OF GIVING COMMUNITY OUTREACH

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
1	261QA0600X	Adult Day Care Clinic/Center

General Provider Information

NPI Number	:	1467263590
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CIRCLE OF GIVING COMMUNITY OUTREACH

Provider Business Mailing Address
First Line	:	3706 DUNBAR ST
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75215-3025
Country	:	US
Telephone Number	:	254-458-5964
Fax Number	:

Provider Business Practice Location Address
First Line	:	1121 REYNOLDSTON LN
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75232-2405
Country	:	US
Telephone Number	:	254-458-5964
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	SHOROLINE MCCOY
Credential	:
Telephone Number	:	254-458-5964

Provider Enumeration Date	:	01/17/2025
Last Update Date	:	01/17/2025

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