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General NPI Number Information
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NPI Number | 1194600296
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Entity Type | Organization
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Legal Business Name | MEMORIAL HEALTH LLC
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Dates
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Enumeration Date | 08/07/2025
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Last Update Date | 08/07/2025
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Provider Practice Location Address
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Address Line | 3300 S GESSNER RD STE 117
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City | HOUSTON
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State | TX
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Zip | 77063-5374
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Country | US
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Telephone | 832-463-3719
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Fax | 210-463-3719
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Provider Business Mailing Address
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Address Line | 3300 S GESSNER RD STE 117
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City | HOUSTON
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State | TX
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Zip | 77063-5374
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Country | US
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Telephone | 832-463-3719
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Fax | 210-463-3719
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | KANAYO OKOLO
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Credential |
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Telephone | 720-254-5439
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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