Organization
ACTIVA HOME HEALTH CARE, INC.
Active
Other names
Activa Home Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SOMAN THOMAS CHENNANKARA (ADMINISTRATOR)
(214) 514-7776
Entity
Organization
Contact information
Practice address
431 E GRUBB DR, MESQUITE, TX 75149-2534
(214) 514-7776
Mailing address
431 E GRUBB DR, MESQUITE, TX 75149-2534
(214) 514-7776
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
12/02/2010
Last updated
12/02/2010
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