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Organization

ACTS OF SERVICE HOME CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHAUNTEVIA NICHOLSON (CEO)
(312) 287-7123
Entity
Organization

Contact information

Practice address
23615 SIMMENTAL RD, HOCKLEY, TX 77447-2352
(312) 287-7123
Mailing address
23615 SIMMENTAL RD, HOCKLEY, TX 77447-2352
(312) 287-7123

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
253Z00000X
In Home Supportive Care Agency
343900000X
Non-emergency Medical Transport (VAN)
385H00000X
Respite Care

Other

Enumeration date
12/10/2024
Last updated
01/07/2025
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