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General NPI Number Information
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NPI Number | 1598145740
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Entity Type | Organization
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Legal Business Name | AYONG HEALTH CARE LLC
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Dates
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Enumeration Date | 06/03/2015
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Last Update Date | 08/09/2023
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Provider Practice Location Address
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Address Line | 13835 WESTHOLLOW PARK DR APT 2805
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City | HOUSTON
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State | TX
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Zip | 77082-1885
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Country | US
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Telephone | 832-443-5829
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Fax |
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Provider Business Mailing Address
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Address Line | 13835 WESTHOLLOW PARK DR APT 2805
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City | HOUSTON
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State | TX
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Zip | 77082-1885
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Country | US
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Telephone | 832-443-5829
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Fax |
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Authorized Official
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Title or Position | PROGRAM MANAGER
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Name | HENRIETTA N AYONG
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Credential |
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Telephone | 832-443-5829
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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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 | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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Taxonomy #3
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Taxonomy Code | 385HR2060X
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Taxonomy Name | Child Intellectual and/or Developmental Disabilities Respite Care
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License Number |
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Taxonomy #4
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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Taxonomy #5
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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Taxonomy #6
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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