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General NPI Number Information
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NPI Number | 1235605494
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Entity Type | Organization
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Legal Business Name | HAL'S HOME & RESIDENTIAL CARE COMMUNITY
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Dates
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Enumeration Date | 10/15/2018
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Last Update Date | 03/16/2021
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Provider Practice Location Address
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Address Line | 12514 BERRY LAUREL LN
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City | HOUSTON
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State | TX
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Zip | 77014-2445
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Country | US
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Telephone | 832-596-9931
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Fax | 832-286-1769
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Provider Business Mailing Address
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Address Line | 12514 BERRY LAUREL LN
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City | HOUSTON
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State | TX
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Zip | 77014-2445
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Country | US
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Telephone | 832-596-9931
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Fax | 832-286-1769
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Authorized Official
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Title or Position | CFO/CEO
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Name | SHARION LENESE WHITE
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Credential |
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Telephone | 832-596-9934
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3104A0625X
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Taxonomy Name | Assisted Living Facility (Mental Illness)
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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 | 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 #3
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State |
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