Organization
CHAMPION HOMECARE & FINANCIAL SERVICES INC
Active
Other names
Champion Transportation
Organization subpart
No
Provider details
NPI number
Authorized official
DJOVANY PIERRE (ADMINISTRATOR)
(508) 232-8633
Entity
Organization
Contact information
Practice address
673 N MAIN ST, BROCKTON, MA 02301-2407
(508) 638-1904
Mailing address
673 N MAIN ST, BROCKTON, MA 02301-2407
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
S94527281
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1407213630
—
MA
Enumeration date
03/04/2016
Last updated
03/04/2016
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