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Organization

ADVANCED CARE & HOME SUPPORT INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MBECHA ATEM TONGWA (ADMINISTRATOR)
(301) 300-4179
Entity
Organization

Contact information

Practice address
2880 CLAREMONT DR, GRAND PRAIRIE, TX 75052-4312
(301) 300-4179
Mailing address
2880 CLAREMONT DR, GRAND PRAIRIE, TX 75052-4312
(301) 300-4179

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
341241302
TX
Enumeration date
05/25/2018
Last updated
05/25/2018
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