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NPI Code Detail

MEDICARE: CIMOIC HOME HEALTHCARE INC

MEDICARE: CIMOIC HOME HEALTHCARE INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency009973TX

General Provider Information

NPI Number : 1235228628
Entity Type Code : Organization
Provider Name (Legal Business Name) : CIMOIC HOME HEALTHCARE INC
Provider Business Mailing Address
First Line : 3160 COMMONWEALTH DR STE 190
Second Line :
City : DALLAS
State : TX
Zip : 75247-6218
Country : US
Telephone Number : 214-217-0147
Fax Number :
Provider Business Practice Location Address
First Line : 3160 COMMONWEALTH DR STE 190
Second Line :
City : DALLAS
State : TX
Zip : 75247-6218
Country : US
Telephone Number : 214-217-0147
Fax Number :
Authorized Official
Title or Position : CFO
Name : MR. OBIE MBAKWE
Credential :
Telephone Number : 214-217-0147
Provider Enumeration Date : 10/12/2006
Last Update Date : 08/22/2020

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Directions to “CIMOIC HOME HEALTHCARE INC ” Practice Location

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