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Organization
CCS COMPLETE CARE SOLUTIONS LLC
Active
Organization
CCS COMPLETE CARE SOLUTIONS LLC
Active
Other names
CCS Complete Care Solutions LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KARISSA K. RICKMAN LVN (DIRECTOR/ADMINISTRATOR)
(832) 414-4522
Entity
Organization
Contact information
Practice address
7084 W STATE HIGHWAY 21, NACOGDOCHES, TX 75964-4704
(832) 414-4522
Mailing address
17432 S FM 225, DOUGLASS, TX 75943-4206
(832) 414-4522
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
312673
TX
172A00000X
Driver
—
NULL
172A00000X
Driver
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
TX
374T00000X
Religious Nonmedical Nursing Personnel
—
NULL
374T00000X
Religious Nonmedical Nursing Personnel
—
—
374U00000X
Home Health Aide
—
NULL
374U00000X
Home Health Aide
—
—
Other
Enumeration date
01/22/2018
Last updated
01/22/2018
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