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General NPI Number Information
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NPI Number | 1326194846
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Entity Type | Organization
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Legal Business Name | CARECETERA HOME CARE, INC.
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Dates
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Enumeration Date | 01/26/2007
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Last Update Date | 09/17/2019
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Provider Practice Location Address
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Address Line | 711 S MAIN ST
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City | DEL RIO
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State | TX
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Zip | 78840-5863
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Country | US
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Telephone | 830-775-6858
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Fax | 830-469-1987
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Provider Business Mailing Address
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Address Line | 711 S MAIN ST
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City | DEL RIO
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State | TX
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Zip | 78840-5863
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Country | US
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Telephone | 830-775-6858
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Fax | 830-469-1987
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Authorized Official
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Title or Position | CEO
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Name | MRS. ROSIE PHILLIPS
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Credential |
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Telephone | 830-775-6858
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 008855
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License Number State | TX
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