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General NPI Number Information
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NPI Number | 1336766336
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Entity Type | Organization
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Legal Business Name | LIVING FAITH COMMUNITY HOME, INC.
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Dates
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Enumeration Date | 06/25/2020
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Last Update Date | 06/25/2020
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Provider Practice Location Address
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Address Line | 10735 BRAES FOREST DR
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City | HOUSTON
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State | TX
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Zip | 77071-1501
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Country | US
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Telephone | 832-326-9028
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Fax |
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Provider Business Mailing Address
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Address Line | 2626 RAVEN FALLS LN
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City | FRIENDSWOOD
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State | TX
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Zip | 77546-6072
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Country | US
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Telephone | 832-326-9028
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MRS. VERONICA U OKAFOR
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Credential |
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Telephone | 832-326-9028
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State |
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