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General NPI Number Information
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NPI Number | 1235284001
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Entity Type | Organization
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Legal Business Name | HOSPITALITY HOUSE INC.
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Dates
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Enumeration Date | 01/24/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 218-219 N. KING ST.
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City | ALICE
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State | TX
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Zip | 78333-1458
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Country | US
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Telephone | 361-664-4366
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Fax | 361-664-5002
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Provider Business Mailing Address
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Address Line | PO BOX 1458
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City | ALICE
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State | TX
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Zip | 78333-1458
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Country | US
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Telephone | 361-664-4366
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Fax | 361-664-5002
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Authorized Official
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Title or Position | SEC., TREAS. ADMINISTRATOR
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Name | DUANE C DRAKE
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Credential | LNHA- OWNER
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Telephone | 361-664-4366
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 4020
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License Number State | TX
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