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General NPI Number Information
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NPI Number | 1629320577
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Entity Type | Organization
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Legal Business Name | THE GARDEN HEALTHCARE SERVICES CORPORATION
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Dates
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Enumeration Date | 10/02/2012
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Last Update Date | 01/23/2019
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Provider Practice Location Address
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Address Line | 4930 RIDGE HARBOR DR
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City | HOUSTON
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State | TX
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Zip | 77053-5318
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Country | US
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Telephone | 281-835-9224
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Fax |
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Provider Business Mailing Address
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Address Line | 4930 RIDGE HARBOR DR
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City | HOUSTON
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State | TX
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Zip | 77053-5318
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Country | US
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Telephone | 281-835-9224
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | WILMA WILLIAMS-THOMAS
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Credential |
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Telephone | 281-724-2321
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number | 015455
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License Number State | TX
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