Organization
CINCOA HOME HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR C EZEMBA DMINISTRATOR (MANAGER)
(713) 922-7303
Entity
Organization
Contact information
Practice address
6922 ADDICKS CLODINE RD, HOUSTON, TX 77083-1102
(713) 922-7303
Mailing address
6922 ADDICKS CLODINE RD, HOUSTON, TX 77083-1102
(713) 922-7303
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14485273
TEXAS DRIVERS LICENSE
TX
Enumeration date
08/12/2020
Last updated
08/12/2020
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