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General NPI Number Information
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NPI Number | 1700591302
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Entity Type | Organization
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Legal Business Name | DELIS ENTERPRISES INC
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Dates
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Enumeration Date | 01/18/2023
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Last Update Date | 01/18/2023
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Provider Practice Location Address
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Address Line | 14103 WHITE OAK GARDENS DR
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City | CYPRESS
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State | TX
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Zip | 77429-3938
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Country | US
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Telephone | 346-282-4422
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Fax |
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Provider Business Mailing Address
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Address Line | 14173 NORTHWEST FWY # 249
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City | HOUSTON
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State | TX
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Zip | 77040-5013
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Country | US
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Telephone | 346-282-4422
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DANA ELLIS
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Credential |
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Telephone | 346-282-4422
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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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Taxonomy #2
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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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 | 320700000X
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Taxonomy Name | Physical Disabilities Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 177F00000X
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Taxonomy Name | Lodging Provider
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License Number |
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License Number State |
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