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General NPI Number Information
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NPI Number | 1386937548
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Entity Type | Organization
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Legal Business Name | HOME FOR CARE
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Dates
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Enumeration Date | 05/20/2011
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Last Update Date | 05/20/2011
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Provider Practice Location Address
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Address Line | 777 BATESWOOD DR 11
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City | HOUSTON
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State | TX
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Zip | 77079-5826
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Country | US
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Telephone | 281-854-4074
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Fax | 832-230-8962
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Provider Business Mailing Address
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Address Line | 777 BATESWOOD DR 11
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City | HOUSTON
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State | TX
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Zip | 77079
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Country | US
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Telephone | 281-854-4074
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Fax | 832-230-8962
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Authorized Official
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Title or Position | OWNER
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Name | MR. KENNEDY MAGE AMBANI
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Credential | NONE
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Telephone | 281-854-4074
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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