Organization
CHAMPION COMMUNITY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLORIA JEAN SINGLETON (ADMINISTRATOR/OWNER)
(682) 302-4267
Entity
Organization
Contact information
Practice address
3869 SOUTH FWY, FORT WORTH, TX 76110-5600
(682) 302-4267
(682) 703-1080
Mailing address
4804 ALANDALE DR, FOREST HILL, TX 76119-7508
(682) 302-4267
(682) 703-1080
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
11/09/2022
Last updated
06/19/2023
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