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General NPI Number Information
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NPI Number | 1760836704
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Entity Type | Organization
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Legal Business Name | HEALING HANDS SENIOR CARE SERVICE
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Dates
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Enumeration Date | 04/15/2016
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Last Update Date | 04/15/2016
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Provider Practice Location Address
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Address Line | 1152 HIGH POINT RD.
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City | BEDFORD
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State | TX
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Zip | 76022
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Country | US
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Telephone | 682-227-0821
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1354
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City | BEDFORD
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State | TX
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Zip | 76095-1354
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Country | US
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Telephone | 682-227-0821
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. DECORLA P. HOLMES
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Credential |
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Telephone | 682-227-0821
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number |
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number | NA09046331
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License Number State | TX
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