Organization
COSMETIC COMPANIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIANE GIBSON RN (OWNER)
(214) 995-6159
Entity
Organization
Contact information
Practice address
320 DECKER DR STE 100, IRVING, TX 75062
(214) 210-9699
(972) 719-2545
Mailing address
6812 DAVID LN, COLLEYVILLE, TX 76034-6659
(214) 995-6159
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
018622
TX
Other
Enumeration date
05/24/2017
Last updated
08/07/2018
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