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NPI 1326249855

NPI 1326249855 : MONARCH HOLDING, INC. : LANCASTER, TX

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General NPI Number Information
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    NPI Number           |    1326249855
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    Entity Type          |    Organization 
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    Legal Business Name  |    MONARCH HOLDING, INC. 
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Dates
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    Enumeration Date     |    05/31/2007
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    Last Update Date     |    01/21/2021
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Provider Practice Location Address
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    Address Line         |    731 WILLOWOOD LN 
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    City                 |    LANCASTER
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    State                |    TX
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    Zip                  |    75134-2521
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    Country              |    US
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    Telephone            |    800-299-5161
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    Fax                  |    817-447-3033
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Provider Business Mailing Address
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    Address Line         |    4800 OVERTON PLZ STE 440 
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    City                 |    FORT WORTH
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    State                |    TX
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    Zip                  |    76109-4435
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    Country              |    US
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    Telephone            |    800-299-5161
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    Fax                  |    817-447-3033
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Authorized Official
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    Title or Position    |    OPERATIONS BUSINESS MANAGER
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    Name                 |     ANNA  TODD 
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    Credential           |    
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    Telephone            |    800-299-5161
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    315P00000X
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    Taxonomy Name        |    Intellectual Disabilities Intermediate Care Facility
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    License Number       |    
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    License Number State |    
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