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General NPI Number Information
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NPI Number | 1104712785
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Entity Type | Organization
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Legal Business Name | LADONNAS HOUSE LLC
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Dates
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Enumeration Date | 06/17/2025
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Last Update Date | 08/18/2025
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Provider Practice Location Address
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Address Line | 24333 CINCO TERRACE DR APT 1027
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City | KATY
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State | TX
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Zip | 77494-2674
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Country | US
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Telephone | 386-344-8182
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Fax |
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Provider Business Mailing Address
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Address Line | 24333 CINCO TERRACE DR APT 1027
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City | KATY
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State | TX
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Zip | 77494-2674
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Country | US
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Telephone | 386-344-8182
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | ANANSIA NOBLES
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Credential | COTA/L
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Telephone | 386-344-8182
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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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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