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General NPI Number Information
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NPI Number | 1578059465
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Entity Type | Organization
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Legal Business Name | BLESSING HANDS HOME HEALTH LLC
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Dates
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Enumeration Date | 07/03/2018
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Last Update Date | 07/03/2018
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Provider Practice Location Address
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Address Line | 509 W TIDWELL RD STE 318
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City | HOUSTON
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State | TX
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Zip | 77091-4355
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Country | US
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Telephone | 281-240-1335
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Fax |
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Provider Business Mailing Address
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Address Line | 509 W TIDWELL RD STE 318
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City | HOUSTON
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State | TX
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Zip | 77091-4355
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Country | US
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Telephone | 281-240-1335
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. VAN D CARROLL
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Credential | MSN RN
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Telephone | 281-240-0749
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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 | 018751
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License Number State | TX
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