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NPI 1043519911

NPI 1043519911 : LIFE TOUCH PRIMARY HOME CARE SERVICES, LLC : MCALLEN, TX

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General NPI Number Information
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    NPI Number           |    1043519911
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    Entity Type          |    Organization 
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    Legal Business Name  |    LIFE TOUCH PRIMARY HOME CARE SERVICES, LLC 
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Dates
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    Enumeration Date     |    03/17/2011
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    Last Update Date     |    03/17/2011
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Provider Practice Location Address
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    Address Line         |    801 E FERN AVE SUITE 107
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    City                 |    MCALLEN
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    State                |    TX
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    Zip                  |    78501-1496
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    Country              |    US
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    Telephone            |    956-682-9188
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    Fax                  |    956-664-0107
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Provider Business Mailing Address
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    Address Line         |    801 E FERN AVE SUITE 107
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    City                 |    MCALLEN
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    State                |    TX
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    Zip                  |    78501-1496
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    Country              |    US
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    Telephone            |    956-682-9188
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    Fax                  |    956-664-0107
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Authorized Official
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    Title or Position    |    OWNER/PARTNER
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    Name                 |    MR. SAUL  NAVA 
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    Credential           |    
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    Telephone            |    956-682-9188
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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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