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General NPI Number Information
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NPI Number | 1760655625
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Entity Type | Organization
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Legal Business Name | SANCTIFIED HOME HEALTH SERVICES INC
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Dates
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Enumeration Date | 04/10/2008
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Last Update Date | 04/27/2015
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Provider Practice Location Address
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Address Line | 2719 MARQUETTE TRL
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City | KATY
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State | TX
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Zip | 77494-5576
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Country | US
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Telephone | 832-244-3418
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Fax | 281-665-1224
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Provider Business Mailing Address
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Address Line | 2719 MARQUETTE TRL
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City | KATY
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State | TX
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Zip | 77494-5576
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Country | US
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Telephone | 832-244-3418
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Fax | 281-665-1224
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | IJEOMA VICTORIA EHIEZE
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Credential |
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Telephone | 832-244-3418
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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 | 012000
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License Number State | TX
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