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General NPI Number Information
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NPI Number | 1275977480
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Entity Type | Organization
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Legal Business Name | AGAPE FAITH ASSISTED LIVING FACILITY
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Dates
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Enumeration Date | 04/18/2013
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Last Update Date | 04/18/2013
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Provider Practice Location Address
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Address Line | 8000 W TIDWELL RD 1408
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City | HOUSTON
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State | TX
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Zip | 77040-5552
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Country | US
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Telephone | 713-876-1896
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Fax |
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Provider Business Mailing Address
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Address Line | 7719 GARSEE DR
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City | HOUSTON
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State | TX
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Zip | 77040-4564
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. DEBBIE C WARD
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Credential |
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Telephone | 713-876-1896
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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 |
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License Number State |
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