Organization
COMMUNITY CARE COOPERATIVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANISHA HOLMAN (ADMINISTRATOR)
(281) 972-7565
Entity
Organization
Contact information
Practice address
2501 HOLMAN ST, HOUSTON, TX 77004-4247
(281) 972-7565
(281) 972-7565
Mailing address
2501 HOLMAN ST, HOUSTON, TX 77004-4247
(281) 972-7565
(281) 972-7565
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
02/02/2021
Last updated
11/21/2024
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