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Organization

CBL MEDICAL ENTERPRISES, INC.

Active
Other names
Advantage Plus Homecare
Organization subpart
No

Provider details

NPI number
Authorized official
CHARLES FRAZIER (CFO/ALTERNATE ADMINISTRATOR)
(939) 559-9480
Entity
Organization

Contact information

Practice address
2719 WESTWARD DR, NACOGDOCHES, TX 75964-1229
(936) 559-9480
(936) 559-9498
Mailing address
2719 WESTWARD DR, NACOGDOCHES, TX 75964-1229
(936) 559-9480
(936) 559-9498

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
013780
TX

Other

Enumeration date
09/17/2010
Last updated
06/16/2015
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