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General NPI Number Information
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NPI Number | 1174710701
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Entity Type | Organization
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Legal Business Name | MARLENA'S HOUSE
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Dates
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Enumeration Date | 09/27/2007
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Last Update Date | 09/27/2007
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Provider Practice Location Address
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Address Line | 418 FELLOWS RD
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City | HOUSTON
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State | TX
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Zip | 77047-7116
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Country | US
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Telephone | 281-450-7463
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Fax | 713-867-4571
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Provider Business Mailing Address
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Address Line | 2222 S FOUNTAIN VALLEY DR
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City | MISSOURI CITY
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State | TX
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Zip | 77459-3645
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Country | US
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Telephone | 281-450-7463
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MARLENE HARROW
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Credential |
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Telephone | 281-450-7463
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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 | 120761
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License Number State | TX
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