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General NPI Number Information
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NPI Number | 1497049779
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Entity Type | Organization
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Legal Business Name | ACCOMMODATING HEALTHCARE SERVICES, LLC
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Dates
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Enumeration Date | 06/04/2011
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Last Update Date | 01/03/2024
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Provider Practice Location Address
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Address Line | 3020 SE LOOP 820
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City | FORT WORTH
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State | TX
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Zip | 76140-1015
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Country | US
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Telephone | 817-339-6733
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Fax | 866-277-7703
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Provider Business Mailing Address
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Address Line | 3020 SE LOOP 820
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City | FORT WORTH
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State | TX
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Zip | 76140-1015
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Country | US
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Telephone | 817-339-6733
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Fax | 866-277-7703
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Authorized Official
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Title or Position | MANAGING MEMBER/ADMINISTRATOR
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Name | CALANDRA ROLLINS
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Credential |
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Telephone | 817-339-6733
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management 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 | 251E00000X
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Taxonomy Name | Home Health Agency
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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 | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | 45D2051218
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License Number State | TX
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Taxonomy #4
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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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Taxonomy #5
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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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