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General NPI Number Information
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NPI Number | 1265585137
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Entity Type | Organization
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Legal Business Name | OUR FAMILY HOME CARE
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Dates
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Enumeration Date | 01/22/2007
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Last Update Date | 09/02/2008
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Provider Practice Location Address
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Address Line | 201 CHURCH ST
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City | SCHERTZ
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State | TX
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Zip | 78154-2129
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Country | US
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Telephone | 210-657-4260
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Fax | 210-658-9475
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Provider Business Mailing Address
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Address Line | 201 CHURCH ST
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City | SCHERTZ
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State | TX
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Zip | 78154-2129
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Country | US
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Telephone | 210-657-4260
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Fax | 210-658-9475
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Authorized Official
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Title or Position | OWNER
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Name | ETHEL ANITA RAY
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Credential |
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Telephone | 210-658-4260
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | 116853
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number | 116196
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number | 115950
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number | 119176
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License Number State | TX
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