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General NPI Number Information
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NPI Number | 1346386679
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Entity Type | Organization
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Legal Business Name | R & K SPECIALIZED HOMES, INC.
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Dates
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Enumeration Date | 01/30/2007
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Last Update Date | 06/24/2024
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Provider Practice Location Address
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Address Line | 8802 BROADWAY
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City | SAN ANTONIO
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State | TX
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Zip | 78217-6318
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Country | US
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Telephone | 210-710-4999
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Fax | 210-568-6213
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Provider Business Mailing Address
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Address Line | PO BOX 17897
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City | SAN ANTONIO
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State | TX
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Zip | 78217-0897
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Country | US
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Telephone | 210-710-4999
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Fax | 210-568-6213
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Authorized Official
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Title or Position | CEO/OWNER
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Name | ESEQUIEL HERNANDEZ IV
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Credential |
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Telephone | 210-843-4413
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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 | 001018537
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 315P00000X
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Taxonomy Name | Intellectual Disabilities Intermediate Care Facility
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License Number | 001019163
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 315P00000X
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Taxonomy Name | Intellectual Disabilities Intermediate Care Facility
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License Number | 001020880
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 315P00000X
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Taxonomy Name | Intellectual Disabilities Intermediate Care Facility
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License Number | 01021060
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License Number State | TX
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Taxonomy #5
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 01007452
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License Number State | TX
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Taxonomy #6
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Taxonomy Code | 315P00000X
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Taxonomy Name | Intellectual Disabilities Intermediate Care Facility
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License Number | 000721501
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License Number State | TX
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Taxonomy #7
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Taxonomy Code | 315P00000X
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Taxonomy Name | Intellectual Disabilities Intermediate Care Facility
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License Number | 001018787
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License Number State | TX
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