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General NPI Number Information
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NPI Number | 1013627942
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Entity Type | Organization
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Legal Business Name | LIFE'S PATH FORWARD LLC
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Dates
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Enumeration Date | 12/01/2022
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Last Update Date | 12/01/2022
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Provider Practice Location Address
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Address Line | 4910 LINCOLNSHIRE RD
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City | HOUSTON
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State | TX
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Zip | 77048-4723
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Country | US
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Telephone | 832-316-8566
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 331048
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City | HOUSTON
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State | TX
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Zip | 77233-1048
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Country | US
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Telephone | 832-316-8566
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Fax |
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | MRS. KANDZ KELLY DAIGLE
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Credential |
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Telephone | 832-316-8566
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174200000X
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Taxonomy Name | Meals Provider
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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Taxonomy #6
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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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Taxonomy #7
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 177F00000X
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Taxonomy Name | Lodging Provider
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License Number |
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License Number State |
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