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General NPI Number Information
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NPI Number | 1215642533
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Entity Type | Organization
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Legal Business Name | CITI HEALTH PERSONAL CARE SERVICES LLC.
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Dates
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Enumeration Date | 01/20/2023
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Last Update Date | 10/11/2024
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Provider Practice Location Address
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Address Line | 8449 W BELLFORT AVE STE 330
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City | HOUSTON
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State | TX
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Zip | 77071-2247
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Country | US
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Telephone | 346-932-7423
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Fax | 713-393-7720
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Provider Business Mailing Address
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Address Line | 8449 W BELLFORT ST STE 130
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City | HOUSTON
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State | TX
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Zip | 77071-2246
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Country | US
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Telephone | 346-932-7423
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DANIEL O ORJI
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Credential |
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Telephone | 346-932-7423
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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