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General NPI Number Information
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NPI Number | 1508165770
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Entity Type | Organization
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Legal Business Name | JGS HEALTHCARE SERVICES, LLC
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Dates
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Enumeration Date | 03/26/2011
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Last Update Date | 04/07/2011
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Provider Practice Location Address
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Address Line | 15907 CERCA BLANCA DR
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City | HOUSTON
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State | TX
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Zip | 77083-4926
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Country | US
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Telephone | 832-434-9810
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Fax |
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Provider Business Mailing Address
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Address Line | 15907 CERCA BLANCA DR
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City | HOUSTON
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State | TX
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Zip | 77083-4926
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Country | US
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Telephone | 832-434-9810
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. JOANN SERAFIN
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Credential |
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Telephone | 832-434-9810
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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 | 800915065
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License Number State | TX
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