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General NPI Number Information
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NPI Number | 1578862660
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Entity Type | Organization
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Legal Business Name | ST. ROYAL HOME HEALTH SERVICES, INC.
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Dates
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Enumeration Date | 03/15/2011
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Last Update Date | 08/29/2012
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Provider Practice Location Address
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Address Line | 2656 S LOOP W
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City | HOUSTON
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State | TX
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Zip | 77054-2664
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Country | US
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Telephone | 713-817-2959
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Fax | 713-664-9801
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Provider Business Mailing Address
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Address Line | 2656 S LOOP W STE 329
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City | HOUSTON
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State | TX
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Zip | 77054-2664
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Country | US
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Telephone | 713-817-2959
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Fax | 713-664-9801
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. LUCINDA LYONS ANTOINE
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Credential | RN
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Telephone | 713-817-6613
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number | 014155
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number | 014155
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License Number State | TX
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Taxonomy #3
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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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