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Organization
COOK CHILDRENS HOME HEALTH
Active
Organization
COOK CHILDRENS HOME HEALTH
Active
Parent organization
COOK CHILDREN'S HOME HEALTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
COOK CHILDREN'S HOME HEALTH
Authorized official
MICHAEL R SIMMONS (PRESIDENT, CCHH)
(682) 885-2409
Entity
Organization
Contact information
Practice address
1101 W VICKERY BLVD, FORT WORTH, TX 76104-1025
(682) 885-6294
(682) 885-2499
Mailing address
PO BOX 99283, FORT WORTH, TX 76199-1383
(682) 885-6294
(682) 885-5606
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
4026020001
NULL
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
332BC3200X
Customized Equipment (DME)
—
NULL
335E00000X
Prosthetic/Orthotic Supplier
—
NULL
Other
Enumeration date
01/26/2006
Last updated
08/06/2024
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