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General NPI Number Information
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NPI Number | 1285385104
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Entity Type | Organization
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Legal Business Name | BELLA GROVES, INC.
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Dates
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Enumeration Date | 01/12/2022
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Last Update Date | 01/12/2022
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Provider Practice Location Address
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Address Line | 3650 WESTWARD SPUR
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City | BULVERDE
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State | TX
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Zip | 78163-4210
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Country | US
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Telephone | 210-201-6931
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Fax |
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Provider Business Mailing Address
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Address Line | 5900 BALCONES DR STE 4963
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City | AUSTIN
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State | TX
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Zip | 78731-4257
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Country | US
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Telephone | 979-229-8738
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Fax |
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Authorized Official
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Title or Position | CHAIRMAN/CO-FOUNDER
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Name | AARON CASTILLO
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Credential |
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Telephone | 979-229-8738
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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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