| NPI | 1245532803 |
|---|---|
| Doing Business As | ACTIVA HOME HEALTH CARE |
| Entity Type | Organization |
| Authorized Contact | SOMAN THOMAS CHENNANKARA Administrator 214-514-7776 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Enumeration Date | 2010-12-02 |
| Last Update Date | 2010-12-02 |