Organization
CCS COMPLETE CARE SOLUTIONS LLC
Active
Other names
CCS Complete Care Solutions LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KARISSA K. RICKMAN LVN (DIRECTOR/ADMINISTRATOR)
(832) 414-4522
Entity
Organization
Contact information
Practice address
7084 W STATE HIGHWAY 21, NACOGDOCHES, TX 75964-4704
(832) 414-4522
Mailing address
17432 S FM 225, DOUGLASS, TX 75943-4206
(832) 414-4522
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
312673
TX
172A00000X
Driver
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
TX
374T00000X
Religious Nonmedical Nursing Personnel
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
01/22/2018
Last updated
01/22/2018
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