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General NPI Number Information
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NPI Number | 1194261511
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Entity Type | Organization
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Legal Business Name | REAL COMFORT LIVING LLC
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Dates
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Enumeration Date | 01/09/2017
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Last Update Date | 12/18/2024
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Provider Practice Location Address
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Address Line | 17014 QUAIL BEND DR
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City | MISSOURI CITY
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State | TX
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Zip | 77489-6158
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Country | US
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Telephone | 281-300-8765
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Fax | 281-437-6622
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Provider Business Mailing Address
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Address Line | 10103 FONDREN RD STE 474
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City | HOUSTON
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State | TX
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Zip | 77096-4671
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Country | US
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Telephone | 832-582-6111
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Fax | 832-582-5563
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | CHRISTOPHER C EKWEALOR
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Credential |
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Telephone | 832-850-8761
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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 | 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 #3
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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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Taxonomy #4
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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