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Organization
JOHN BOOTH
Active
Organization
JOHN BOOTH
Active
Other names
Champion Home Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
VICKI LEWIS (ADMINISTRATOR)
(903) 577-0355
Entity
Organization
Contact information
Practice address
508 N WASHINGTON AVE, MT PLEASANT, TX 75455-3318
(903) 577-0355
(903) 577-0357
Mailing address
508 N WASHINGTON AVE, MT PLEASANT, TX 75455-3318
(903) 577-0355
(903) 577-0357
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
011788
TX
Other
Enumeration date
02/22/2008
Last updated
02/22/2008
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