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General NPI Number Information
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NPI Number | 1023286028
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Entity Type | Organization
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Legal Business Name | ST. ISABEL HOME HEALTH INCORPORATION
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Dates
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Enumeration Date | 02/13/2008
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Last Update Date | 07/26/2022
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Provider Practice Location Address
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Address Line | 1975 DEL RIO BLVD
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City | EAGLE PASS
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State | TX
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Zip | 78852-2201
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Country | US
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Telephone | 830-776-5602
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Fax | 830-773-6719
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Provider Business Mailing Address
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Address Line | 1975 DEL RIO BLVD
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City | EAGLE PASS
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State | TX
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Zip | 78852-2201
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Country | US
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Telephone | 830-776-5602
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Fax | 830-773-6719
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | PATRICIA PENILLA
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Credential | RN
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Telephone | 830-352-2212
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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