Organization
CELEMIAH HOME AND COMMUNITY SUPPORT SERVICE AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMIAH KIPNGETICH CHUMBA RN (RN/ADMINISTRATOR)
(512) 825-6440
Entity
Organization
Contact information
Practice address
17804 BRIDGEFARMER BLVD, PFLUGERVILLE, TX 78660-3484
(512) 825-6440
Mailing address
17804 BRIDGEFARMER BLVD, PFLUGERVILLE, TX 78660-3484
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
833814
TX
Other
Enumeration date
12/17/2015
Last updated
12/17/2015
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