Organization
COMMUNITY CARE HEALTH AGENCY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EVALYNE C SUDOI RN BSN MBA (ADMINISTRATOR/DON)
(972) 522-8180
Entity
Organization
Contact information
Practice address
1600 E PIONEER PKWY, SUITE 343, ARLINGTON, TX 76010-6542
(972) 266-8511
(972) 266-8522
Mailing address
1600 E PIONEER PKWY, SUITE 343, ARLINGTON, TX 76010-6542
(972) 266-8511
(972) 266-8522
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
014813
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
301132201
—
TX
Enumeration date
04/19/2007
Last updated
12/01/2015
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