Organization
COOK CHILDRENS HOME HEALTH
Active
Parent organization
COOK CHILDREN'S HOME HEALTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
COOK CHILDREN'S HOME HEALTH
Authorized official
MICHAEL R SIMMONS (PRESIDENT, CCHH)
(682) 885-2409
Entity
Organization
Contact information
Practice address
1101 W VICKERY BLVD, FORT WORTH, TX 76104-1025
(682) 885-6294
(682) 885-2499
Mailing address
PO BOX 99283, FORT WORTH, TX 76199-1383
(682) 885-6294
(682) 885-5606
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
4026020001
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
01/26/2006
Last updated
08/06/2024
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