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General NPI Number Information
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NPI Number | 1336895598
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Entity Type | Organization
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Legal Business Name | QUIET WATERS HOSPICE, LLC
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Dates
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Enumeration Date | 02/25/2022
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Last Update Date | 07/07/2022
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Provider Practice Location Address
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Address Line | 10707 CORPORATE DR STE 114
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City | STAFFORD
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State | TX
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Zip | 77477-4001
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Country | US
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Telephone | 346-901-4272
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Fax | 832-225-3194
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Provider Business Mailing Address
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Address Line | 13135 SUNRISE CREEK LN
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City | SUGAR LAND
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State | TX
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Zip | 77498-7475
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Country | US
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Telephone | 346-901-4272
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Fax | 832-225-3194
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | CORETTA SAVOY STEVENS
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Credential | RN
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Telephone | 346-901-4272
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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