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General NPI Number Information
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NPI Number | 1356136022
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Entity Type | Organization
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Legal Business Name | HEAVENS TOUCH GROUP HOME
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Dates
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Enumeration Date | 04/11/2025
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Last Update Date | 11/05/2025
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Provider Practice Location Address
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Address Line | 2724 AVENUE P 1/2
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City | GALVESTON
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State | TX
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Zip | 77550
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Country | US
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Telephone | 409-621-6433
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Fax |
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Provider Business Mailing Address
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Address Line | 3210 GULF FWY APT 6108
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City | TEXAS CITY
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State | TX
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Zip | 77591-2843
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Country | US
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Telephone | 409-621-6433
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Fax |
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Authorized Official
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Title or Position | RN/OWNER
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Name | DANDRA JONES
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Credential | REGISTERED NURSE
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Telephone | 409-621-6433
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number |
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License Number State |
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