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General NPI Number Information
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NPI Number | 1164230702
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Entity Type | Organization
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Legal Business Name | HOME LIKE HEAVEN
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Dates
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Enumeration Date | 12/30/2024
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Last Update Date | 12/30/2024
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Provider Practice Location Address
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Address Line | 1702 IVIE LEE ST
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City | BAYTOWN
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State | TX
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Zip | 77520-3623
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Country | US
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Telephone | 281-979-7966
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Fax |
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Provider Business Mailing Address
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Address Line | 6065 HILLCROFT ST STE 610
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City | HOUSTON
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State | TX
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Zip | 77081-1103
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Country | US
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Telephone | 281-979-7966
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | FREEMAN CHUKWUEWUBE
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Credential |
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Telephone | 516-708-5576
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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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