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General NPI Number Information
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NPI Number | 1578166179
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Entity Type | Organization
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Legal Business Name | C & E ANGELS OF LIFE HEALTHCARE LLC
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Dates
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Enumeration Date | 11/17/2020
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Last Update Date | 11/17/2020
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Provider Practice Location Address
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Address Line | 15467 BAMMEL OAKS CT
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City | HOUSTON
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State | TX
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Zip | 77014-1499
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Country | US
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Telephone | 832-683-1155
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Fax |
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Provider Business Mailing Address
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Address Line | 15467 BAMMEL OAKS CT
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City | HOUSTON
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State | TX
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Zip | 77014-1499
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Country | US
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Telephone | 832-683-1155
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | TAWANA BROWN
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Credential |
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Telephone | 832-683-1155
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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 |
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License Number State |
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