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General NPI Number Information
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NPI Number | 1689027765
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Entity Type | Organization
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Legal Business Name | SENIOR HOUSING CENTERS INC
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Dates
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Enumeration Date | 07/13/2016
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Last Update Date | 07/13/2016
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Provider Practice Location Address
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Address Line | 526 5TH ST
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City | SEALY
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State | TX
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Zip | 77474-2608
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Country | US
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Telephone | 979-627-7225
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 449
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City | KATY
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State | TX
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Zip | 77492-0449
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CORPORATE DIRECTOR
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Name | DONNA MIKULENKA
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Credential |
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Telephone | 979-627-7225
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | 105925
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License Number State | TX
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