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General NPI Number Information
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NPI Number | 1356772768
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Entity Type | Organization
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Legal Business Name | CAROLYN'S HOME HEALTH STAFFING SERVICE
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Dates
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Enumeration Date | 12/11/2013
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Last Update Date | 12/11/2013
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Provider Practice Location Address
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Address Line | 5807 BELCREST ST
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City | HOUSTON
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State | TX
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Zip | 77033-2141
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Country | US
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Telephone | 832-891-7234
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Fax | 713-738-1427
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Provider Business Mailing Address
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Address Line | 5807 BELCREST STREET
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City | HOUSTON
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State | TX
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Zip | 77033
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Country | US
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Telephone | 832-891-7234
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Fax | 713-738-1427
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | CAROLYN ANN RILEY
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Credential | CNA
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Telephone | 832-891-7234
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State | TX
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