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General NPI Number Information
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NPI Number | 1659517423
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Entity Type | Organization
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Legal Business Name | DIVINE FAITH HOME CARE SERVICES
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Dates
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Enumeration Date | 12/29/2008
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Last Update Date | 12/29/2008
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Provider Practice Location Address
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Address Line | 15310 WILDWOOD LAKE DR
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City | HOUSTON
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State | TX
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Zip | 77083-5524
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Country | US
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Telephone | 281-568-5630
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Fax | 281-568-5630
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Provider Business Mailing Address
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Address Line | 15310 WILDWOOD LAKE DR
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City | HOUSTON
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State | TX
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Zip | 77083-5524
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Country | US
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Telephone | 281-568-5630
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Fax | 281-568-5630
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Authorized Official
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Title or Position | DIRECTOR
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Name | MRS. EVELYN OKWUCHI JOSEPH
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Credential |
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Telephone | 832-215-6834
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number | N/A
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License Number State |
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