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General NPI Number Information
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NPI Number | 1417254079
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Entity Type | Organization
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Legal Business Name | CHERYL'S SAVING GRACE HOME CARE AGENCY
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Dates
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Enumeration Date | 02/17/2011
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Last Update Date | 02/17/2011
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Provider Practice Location Address
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Address Line | 2007 GLEN PARK DR
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City | MISSOURI CITY
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State | TX
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Zip | 77489-3169
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Country | US
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Telephone | 281-208-1231
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Fax | 281-261-6348
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Provider Business Mailing Address
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Address Line | 2007 GLEN PARK DR
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City | MISSOURI CITY
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State | TX
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Zip | 77489-3169
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Country | US
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Telephone | 281-208-1231
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Fax | 281-261-6348
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | MS. CHERYL L MATCHETTE
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Credential |
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Telephone | 713-213-0064
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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