Provider Demographics
NPI:1699085514
Name:ARMED FORCES CASE MANAGEMENT SERVICES AND VETERANS OUTREACH
Entity type:Organization
Organization Name:ARMED FORCES CASE MANAGEMENT SERVICES AND VETERANS OUTREACH
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:PROF
Authorized Official - First Name:BRIDGETTE
Authorized Official - Middle Name:L
Authorized Official - Last Name:DAVIDSON
Authorized Official - Suffix:
Authorized Official - Credentials:QMHP, QHP
Authorized Official - Phone:254-699-6655
Mailing Address - Street 1:PO BOX 1512
Mailing Address - Street 2:
Mailing Address - City:KILLEEN
Mailing Address - State:TX
Mailing Address - Zip Code:76540-1512
Mailing Address - Country:US
Mailing Address - Phone:254-699-6655
Mailing Address - Fax:254-690-2131
Practice Address - Street 1:607B VETERANS MEMORIAL BLVD
Practice Address - Street 2:
Practice Address - City:HARKER HEIGHTS
Practice Address - State:TX
Practice Address - Zip Code:76548-1390
Practice Address - Country:US
Practice Address - Phone:254-699-6655
Practice Address - Fax:254-690-2131
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-13
Last Update Date:2010-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency
No251B00000XAgenciesCase Management
No251K00000XAgenciesPublic Health or Welfare
No253Z00000XAgenciesIn Home Supportive Care