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NPI 1679780928

NPI 1679780928 : HEALING HOME HEALTH INC : HOUSTON, TX

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General NPI Number Information
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    NPI Number           |    1679780928
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    Entity Type          |    Organization 
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    Legal Business Name  |    HEALING HOME HEALTH INC 
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Dates
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    Enumeration Date     |    05/17/2007
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    Last Update Date     |    08/22/2016
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Provider Practice Location Address
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    Address Line         |    17024 BUTTE CREEK RD STE 101 
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77090-2328
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    Country              |    US
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    Telephone            |    713-259-2747
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    Fax                  |    281-580-1580
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Provider Business Mailing Address
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    Address Line         |    814 N SKY DR 
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77073
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    Country              |    US
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    Telephone            |    713-259-2747
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    Fax                  |    281-209-3934
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Authorized Official
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    Title or Position    |    ADMINISTRATOR
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    Name                 |     KERRY  POYSER 
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    Credential           |    
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    Telephone            |    713-259-2747
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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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