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NPI 1134939200

NPI 1134939200 : THOMAS HOMES A HOUSE OF STRENGTH, LLC : VICTORVILLE, CA

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General NPI Number Information
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    NPI Number           |    1134939200
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    Entity Type          |    Organization 
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    Legal Business Name  |    THOMAS HOMES A HOUSE OF STRENGTH, LLC 
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Dates
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    Enumeration Date     |    01/10/2025
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    Last Update Date     |    01/10/2025
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Provider Practice Location Address
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    Address Line         |    16667 SILICA DR 
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    City                 |    VICTORVILLE
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    State                |    CA
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    Zip                  |    92395-7813
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    Country              |    US
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    Telephone            |    760-261-4971
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    16667 SILICA DR 
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    City                 |    VICTORVILLE
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    State                |    CA
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    Zip                  |    92395-7813
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    Country              |    US
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    Telephone            |    760-261-4971
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |     YOLANDA  DEES 
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    Credential           |    AMFT
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    Telephone            |    760-261-4971
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    311ZA0620X
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    Taxonomy Name        |    Adult Care Home 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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Taxonomy #3
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    Taxonomy Code        |    3104A0625X
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    Taxonomy Name        |    Assisted Living Facility (Mental Illness)
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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        |    3104A0630X
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    Taxonomy Name        |    Assisted Living Facility (Behavioral Disturbances)
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    License Number       |    
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    License Number State |    
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