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Organization
KCCU HEALTHCARE SERVICES INCORPORATED
Active
Organization
KCCU HEALTHCARE SERVICES INCORPORATED
Active
Other names
KCCU HEALTHCARE SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EZIAKU JENNIFER OLIVER (ADMINISTRATOR)
(972) 922-4510
Entity
Organization
Contact information
Practice address
3939 US HIGHWAY 80 E, SUITE 273, MESQUITE, TX 75150-3359
(469) 547-1980
(469) 547-1982
Mailing address
3939 US HIGHWAY 80 E, SUITE 273, MESQUITE, TX 75150-3359
(469) 547-1980
(469) 547-1982
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
02/14/2013
Last updated
02/14/2013
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