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NPI 1396997656

NPI 1396997656 : LONE STAR PLUS HOME HEALTH SERVICES INC : ARLINGTON, TX

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General NPI Number Information
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    NPI Number           |    1396997656
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    Entity Type          |    Organization 
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    Legal Business Name  |    LONE STAR PLUS HOME HEALTH SERVICES INC 
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Dates
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    Enumeration Date     |    10/17/2008
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    Last Update Date     |    02/02/2009
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Provider Practice Location Address
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    Address Line         |    5504 ROLLING GREEN RD 
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    City                 |    ARLINGTON
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    State                |    TX
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    Zip                  |    76017-6263
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    Country              |    US
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    Telephone            |    817-880-3858
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    Fax                  |    817-472-8475
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Provider Business Mailing Address
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    Address Line         |    5504 ROLLING GREEN RD 
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    City                 |    ARLINGTON
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    State                |    TX
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    Zip                  |    76017-6263
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    Country              |    US
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    Telephone            |    817-880-3858
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    Fax                  |    817-472-8475
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Authorized Official
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    Title or Position    |    OWNER/ADMINISTRATOR
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    Name                 |     PETER  OKAFOR 
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    Credential           |    RN
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    Telephone            |    817-880-3858
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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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