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General NPI Number Information
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NPI Number | 1740222058
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Entity Type | Organization
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Legal Business Name | CELESTIAL HEALING HOME HEALTH CARE, INC.
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Dates
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Enumeration Date | 06/12/2006
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Last Update Date | 10/29/2008
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Provider Practice Location Address
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Address Line | 3702 N GLASSCOCK RD
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City | MISSION
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State | TX
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Zip | 78573-8462
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Country | US
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Telephone | 956-581-4411
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Fax | 956-581-4979
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Provider Business Mailing Address
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Address Line | 3702 N GLASSCOCK RD
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City | MISSION
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State | TX
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Zip | 78573-8462
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Country | US
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Telephone | 956-581-4411
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Fax | 956-581-4979
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Authorized Official
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Title or Position | OWNER
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Name | MRS. EDITH CAVAZOS
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Credential | NONE
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Telephone | 956-581-4411
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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 | 012170
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License Number State | TX
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