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NPI 1538364021

NPI 1538364021 : MONARCH ENDEAVORS LLC : HOUSTON, TX

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General NPI Number Information
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    NPI Number           |    1538364021
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    Entity Type          |    Organization 
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    Legal Business Name  |    MONARCH ENDEAVORS LLC 
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Dates
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    Enumeration Date     |    06/15/2007
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    Last Update Date     |    12/07/2016
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Provider Practice Location Address
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    Address Line         |    14425 TORREY CHASE BLVD SUITE 170
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77014-1637
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    Country              |    US
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    Telephone            |    281-999-2273
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    14425 TORREY CHASE BLVD SUITE 170
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77014-1637
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    Country              |    US
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    Telephone            |    281-999-2273
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT AND ADMINISTRATOR
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    Name                 |     CHAD  JOLLEY 
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    Credential           |    
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    Telephone            |    281-999-2273
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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       |    011014
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    License Number State |    TX
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