National Provider Identifier Database

ANDERSON CHEROKEE COMMUNITY ENRICHMENT SERVICES
Intellectual & Developmental Disabilities


Contact Information

ANDERSON CHEROKEE COMMUNITY ENRICHMENT SERVICES
5656 N JACKSON ST
JACKSONVILLE, TX75766-9641
Phone: 903-589-9000
Fax: 903-586-9200
Website:
Specialty Taxonomy Code
* Intellectual & Developmental Disabilities 103TM1800X

* Indicates primary specialty

NPI Profile & details for ANDERSON CHEROKEE COMMUNITY ENRICHMENT SERVICES

NPI Number 1154325645
Legal business name
LBN
ANDERSON CHEROKEE COMMUNITY ENRICHMENT SERVICES
Authorized official ALLYN LANG - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 06/13/2005
Last updated 07/21/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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