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General NPI Number Information
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NPI Number | 1770499279
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Entity Type | Organization
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Legal Business Name | A RAY OF LOVE COMMUNITY HOMES LLC
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Dates
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Enumeration Date | 08/24/2026
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Last Update Date | 08/24/2026
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Provider Practice Location Address
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Address Line | 508 BANBURY CT
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City | FORNEY
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State | TX
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Zip | 75126-3414
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Country | US
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Telephone | 214-302-8141
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Fax |
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Provider Business Mailing Address
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Address Line | 3824 CEDAR SPRINGS RD UNIT 621
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City | DALLAS
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State | TX
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Zip | 75219-4136
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Country | US
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Telephone | 214-302-8141
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Fax |
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Authorized Official
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Title or Position | OWNER / CEO
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Name | ERIC STURDIVANT
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Credential |
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Telephone | 214-302-8141
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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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 | 3747A0650X
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Taxonomy Name | Attendant Care Provider
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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 | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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