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General NPI Number Information
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NPI Number | 1649979352
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Entity Type | Organization
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Legal Business Name | ANGELIC HOUSE OF HOPE
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Dates
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Enumeration Date | 03/02/2023
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Last Update Date | 02/12/2024
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Provider Practice Location Address
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Address Line | 5004 LAURA KOPPE RD
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City | HOUSTON
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State | TX
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Zip | 77016-5247
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Country | US
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Telephone | 281-734-6250
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Fax |
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Provider Business Mailing Address
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Address Line | 15735 HARDING BEND DR
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City | HUMBLE
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State | TX
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Zip | 77346-4346
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Country | US
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Telephone | 281-734-6250
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MRS. SHELIA BELLOW
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Credential |
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Telephone | 281-734-6250
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management 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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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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 | 322D00000X
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Taxonomy Name | Emotionally Disturbed Childrens' Residential Treatment Facility
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License Number |
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License Number State |
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