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General NPI Number Information
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NPI Number | 1013580265
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Entity Type | Organization
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Legal Business Name | HEAVENLY HANDS HOME CARE AGENCY LC
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Dates
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Enumeration Date | 07/23/2021
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Last Update Date | 04/30/2022
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Provider Practice Location Address
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Address Line | 100 GLENBOROUGH DR STE 430
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City | HOUSTON
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State | TX
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Zip | 77067-3600
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Country | US
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Telephone | 346-300-5823
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Fax |
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Provider Business Mailing Address
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Address Line | 100 GLENBOROUGH DR STE 430
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City | HOUSTON
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State | TX
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Zip | 77067-3600
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Country | US
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Telephone | 346-300-5823
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | TORIANA FONTENO
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Credential |
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Telephone | 313-236-7587
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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