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General NPI Number Information
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NPI Number | 1417878513
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Entity Type | Organization
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Legal Business Name | SALVATIONGRACECARE LLC
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Dates
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Enumeration Date | 07/23/2026
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Last Update Date | 07/30/2026
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Provider Practice Location Address
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Address Line | 24010 SPRING WAY DR
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City | SPRING
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State | TX
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Zip | 77373-8901
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Country | US
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Telephone | 832-873-0245
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Fax |
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Provider Business Mailing Address
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Address Line | 24010 SPRING WAY DR
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City | SPRING
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State | TX
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Zip | 77373-8901
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Country | US
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Telephone | 832-873-0245
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Fax |
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Authorized Official
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Title or Position | MANAGER MEMBER
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Name | MRS. JULIENNE OUMBE YONZO EPSE KOMBILA JR.
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Credential |
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Telephone | 832-873-0245
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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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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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