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General NPI Number Information
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NPI Number | 1073839221
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Entity Type | Organization
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Legal Business Name | ASSURED QUALITY CARE SERVICES, LLC
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Dates
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Enumeration Date | 04/13/2010
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Last Update Date | 04/10/2023
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Provider Practice Location Address
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Address Line | 440 BENMAR DRIVE SUITE 3360
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City | HOUSTON
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State | TX
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Zip | 77060
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Country | US
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Telephone | 281-272-4703
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Fax | 281-272-1467
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Provider Business Mailing Address
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Address Line | 7544 FM 1960 EAST SUITE 352
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City | HUMBLE
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State | TX
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Zip | 77346
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Country | US
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Telephone | 281-272-4703
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Fax | 281-272-1467
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Authorized Official
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Title or Position | OWNER
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Name | MRS. STACY DENISE WILLIAMS
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Credential | B.A.
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Telephone | 936-414-0988
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number |
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License Number State |
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