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General NPI Number Information
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NPI Number | 1639670581
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Entity Type | Organization
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Legal Business Name | SKEEN HOME CARE
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Dates
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Enumeration Date | 02/26/2018
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Last Update Date | 02/26/2018
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Provider Practice Location Address
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Address Line | 11111 RICHMOND AVE STE 108
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City | HOUSTON
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State | TX
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Zip | 77082-6710
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Country | US
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Telephone | 281-815-2477
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 8520
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City | SOUTH CHARLESTON
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State | WV
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Zip | 25303-0520
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Country | US
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Telephone | 304-744-8125
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Fax | 304-744-8606
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Authorized Official
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Title or Position | OWNER
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Name | MR. BRENDAN S SKEEN
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Credential |
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Telephone | 304-610-1581
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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License Number State |
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Taxonomy #2
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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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License Number State |
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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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