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General NPI Number Information
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NPI Number | 1023447299
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Entity Type | Organization
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Legal Business Name | HEAVEN CAN WAIT HOME HEALTH CARE AGENCY
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Dates
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Enumeration Date | 11/07/2013
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Last Update Date | 11/07/2013
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Provider Practice Location Address
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Address Line | 17923 HOLLOW HILL LN
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City | RICHMOND
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State | TX
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Zip | 77407-2577
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Country | US
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Telephone | 281-762-1580
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Fax |
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Provider Business Mailing Address
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Address Line | 17923 HOLLOW HILL LN
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City | RICHMOND
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State | TX
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Zip | 77407-2577
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Country | US
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Telephone | 281-762-1580
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Fax |
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Authorized Official
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Title or Position | CEO/OWNER
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Name | MARTINA ELAINE ROGERS
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Credential | LVN
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Telephone | 832-719-4799
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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 | TX
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