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General NPI Number Information
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NPI Number | 1225137474
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Entity Type | Organization
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Legal Business Name | HILL COUNTRY HOME HEALTH CARE AGENCY, INC.
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Dates
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Enumeration Date | 09/22/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 104 MEDICAL DR
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City | BOERNE
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State | TX
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Zip | 78006-1830
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Country | US
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Telephone | 830-249-9323
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Fax | 830-249-8789
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Provider Business Mailing Address
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Address Line | 104 MEDICAL DR
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City | BOERNE
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State | TX
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Zip | 78006-1830
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Country | US
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Telephone | 830-249-9323
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Fax | 830-249-8789
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MISS SHEVAUN B HORAN
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Credential |
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Telephone | 830-249-9323
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 003138
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License Number State | TX
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