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General NPI Number Information
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NPI Number | 1700895737
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Entity Type | Organization
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Legal Business Name | NISSI HOME HEALTH CARE AGENCY INC
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Dates
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Enumeration Date | 08/07/2006
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Last Update Date | 12/17/2020
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Provider Practice Location Address
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Address Line | 9894 BISSONNET ST STE 620
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City | HOUSTON
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State | TX
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Zip | 77036-8244
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Country | US
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Telephone | 281-313-1874
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Fax | 281-313-1875
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Provider Business Mailing Address
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Address Line | 4411 BLUEBONNET DR STE 101
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City | STAFFORD
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State | TX
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Zip | 77477-2912
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Country | US
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Telephone | 281-313-1874
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Fax | 281-313-1875
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Authorized Official
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Title or Position | ALT. ADMINISTRATOR
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Name | MRS. ADIJAT TEMILOLA AKINBAYO
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Credential | RN.
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Telephone | 281-313-1874
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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 | 009975
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License Number State | TX
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