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General NPI Number Information
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NPI Number | 1619149895
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Entity Type | Organization
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Legal Business Name | KING'S HOME HEALTH CARE
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Dates
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Enumeration Date | 03/28/2008
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Last Update Date | 03/28/2008
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Provider Practice Location Address
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Address Line | 12920 MOSIELEE RD.
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City | HOUSTON
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State | TX
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Zip | 77086
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Country | US
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Telephone | 281-820-8022
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Fax | 281-820-8022
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Provider Business Mailing Address
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Address Line | 12920 MOSIELEE ST
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City | HOUSTON
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State | TX
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Zip | 77086-2924
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Country | US
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Telephone | 281-820-8022
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Fax | 281-820-8022
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. LILLIE T KING
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Credential | LVN
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Telephone | 281-820-8022
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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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