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Organization
ACTIVA HOME HEALTH CARE, INC.
Active
Organization
ACTIVA HOME HEALTH CARE, INC.
Active
Other names
Activa Home Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SOMAN THOMAS CHENNANKARA (ADMINISTRATOR)
(214) 514-7776
Entity
Organization
Contact information
Practice address
431 E GRUBB DR, MESQUITE, TX 75149-2534
(214) 514-7776
Mailing address
431 E GRUBB DR, MESQUITE, TX 75149-2534
(214) 514-7776
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
Other
Enumeration date
12/02/2010
Last updated
12/02/2010
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