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Organization

COMPLETE HOPE INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SIMEON MBENKUM RN (ADMINISTRATOR/OWNER)
(806) 620-2696
Entity
Organization

Contact information

Practice address
14401 AVENUE S, LUBBOCK, TX 79423-2511
(806) 620-2696
Mailing address
14401 AVENUE S, LUBBOCK, TX 79423-2511
(806) 620-2696

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
251J00000X
Nursing Care Agency
3747A0650X
Attendant Care Provider
3747P1801X
Personal Care Attendant
385H00000X
Respite Care
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
385HR2065X
Child Physical Disabilities Respite Care

Other

Enumeration date
05/24/2023
Last updated
05/24/2023
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