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General NPI Number Information
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NPI Number | 1609940410
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Entity Type | Organization
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Legal Business Name | JEBY HEALTH CARE SERVICES,INC
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Dates
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Enumeration Date | 11/20/2006
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Last Update Date | 06/11/2024
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Provider Practice Location Address
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Address Line | 614 W MAIN ST STE D101
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City | LEAGUE CITY
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State | TX
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Zip | 77573-3729
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Country | US
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Telephone | 281-332-6569
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Fax | 281-332-1076
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Provider Business Mailing Address
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Address Line | 614 W MAIN ST STE D101
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City | LEAGUE CITY
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State | TX
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Zip | 77573-3771
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Country | US
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Telephone | 281-332-6569
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Fax | 281-332-1076
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Authorized Official
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Title or Position | ADIMINISRATOR
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Name | MRS. EBERE FELICIA AMAECHI-AKUECHIAMA
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Credential | RN
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Telephone | 281-332-6569
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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 | 009291
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License Number State | TX
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