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General NPI Number Information
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NPI Number | 1053278697
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Entity Type | Organization
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Legal Business Name | GENTLE HANDS SUPPORT SERVICES LLC
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Dates
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Enumeration Date | 01/06/2026
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Last Update Date | 01/06/2026
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Provider Practice Location Address
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Address Line | 3902 FABIANNA DR
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City | KILLEEN
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State | TX
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Zip | 76549-2895
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Country | US
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Telephone | 254-630-2502
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Fax |
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Provider Business Mailing Address
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Address Line | 1405 EXCEL DR
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City | KILLEEN
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State | TX
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Zip | 76542-6313
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Country | US
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Telephone | 254-630-2502
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Fax |
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Authorized Official
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Title or Position | OWNER/PROGRAM MANAGER
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Name | MRS. TANEE TIA WINFREE
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Credential | RN
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Telephone | 254-630-2502
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320700000X
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Taxonomy Name | Physical Disabilities Residential Treatment Facility
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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 | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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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 | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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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 | 310400000X
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Taxonomy Name | Assisted Living Facility
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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 | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number |
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License Number State |
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