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Organization
VIKEM HOME & HEALTH SERVICES
Active
Organization
VIKEM HOME & HEALTH SERVICES
Active
Other names
Jude O Ejimakor
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUDE OKEZIE EJIMAKOR (CEO/OWNER)
(972) 422-1436
Entity
Organization
Contact information
Practice address
4507 TWIN ELM DR, FRESNO, TX 77545-9535
(972) 422-1436
(972) 200-5042
Mailing address
PO BOX 450444, HOUSTON, TX 77245-0444
(972) 422-1436
(972) 200-5042
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
311ZA0620X
Adult Care Home Facility
—
—
313M00000X
Nursing Facility/Intermediate Care Facility
—
—
3140N1450X
Pediatric Skilled Nursing Facility
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BN1400X
Nursing Facility Supplies (DME)
—
—
3416L0300X
Land Ambulance
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23
TEXAS DEPARTMENT OF AGING AND DISABILITY SERVICES
TX
Enumeration date
11/24/2009
Last updated
11/24/2009
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