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NPI 1215936869

NPI 1215936869 : HELPING HANDS AND HEARTS HOSPICE : LAKE JACKSON, TX

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General NPI Number Information
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    NPI Number           |    1215936869
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    Entity Type          |    Organization 
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    Legal Business Name  |    HELPING HANDS AND HEARTS HOSPICE 
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Dates
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    Enumeration Date     |    07/16/2005
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    Last Update Date     |    08/25/2014
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Provider Practice Location Address
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    Address Line         |    103 CIRCLE WAY ST STE 100 
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    City                 |    LAKE JACKSON
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    State                |    TX
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    Zip                  |    77566-5233
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    Country              |    US
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    Telephone            |    979-297-3775
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    Fax                  |    979-297-2774
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Provider Business Mailing Address
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    Address Line         |    103 CIRCLE WAY ST STE 100 
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    City                 |    LAKE JACKSON
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    State                |    TX
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    Zip                  |    77566-5233
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    Country              |    US
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    Telephone            |    979-297-3775
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    Fax                  |    979-297-2774
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Authorized Official
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    Title or Position    |    ADMINISTRATOR
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    Name                 |    MRS. SHERWYN D MOORE 
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    Credential           |    LVN
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    Telephone            |    979-297-3775
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251G00000X
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    Taxonomy Name        |    Community Based Hospice Care Agency
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    License Number       |    008168
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    License Number State |    TX
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