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General NPI Number Information
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NPI Number | 1558192922
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Entity Type | Organization
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Legal Business Name | S&P ASSISTED LIVING INC
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Dates
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Enumeration Date | 08/08/2024
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Last Update Date | 08/08/2024
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Provider Practice Location Address
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Address Line | 15318 WILDWOOD GLEN DR
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City | HOUSTON
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State | TX
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Zip | 77083-5515
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Country | US
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Telephone | 281-498-6977
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Fax | 713-774-9000
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Provider Business Mailing Address
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Address Line | 15318 WILDWOOD GLEN DR
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City | HOUSTON
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State | TX
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Zip | 77083-5515
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Country | US
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Telephone | 281-381-0422
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Fax | 713-774-9000
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Authorized Official
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Title or Position | MANAGER
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Name | MR. PATRICK IVBIEVBIOKUN
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Credential |
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Telephone | 281-381-0422
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311Z00000X
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Taxonomy Name | Custodial Care Facility
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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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