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General NPI Number Information
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NPI Number | 1386869840
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Entity Type | Organization
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Legal Business Name | SECURE DAY ACTIVITY AND HEALTH CARE FACILITIES, INC
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Dates
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Enumeration Date | 04/17/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3008 BLODGETT ST
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City | HOUSTON
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State | TX
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Zip | 77004-5304
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Country | US
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Telephone | 713-807-1999
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Fax | 713-807-7175
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Provider Business Mailing Address
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Address Line | 3008 BLODGETT ST
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City | HOUSTON
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State | TX
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Zip | 77004-5304
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Country | US
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Telephone | 713-807-1999
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Fax | 713-807-7175
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Authorized Official
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Title or Position | DIRECTOR
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Name | MRS. SHAMRA S HODGE
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Credential |
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Telephone | 713-807-1999
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number | 119214
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License Number State | TX
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