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General NPI Number Information
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NPI Number | 1790338127
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Entity Type | Organization
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Legal Business Name | RIVER OAKS CONCIERGE ADULT CARE SERVICES LLC
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Dates
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Enumeration Date | 07/24/2019
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Last Update Date | 07/24/2019
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Provider Practice Location Address
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Address Line | 2201 FOUNTAIN VIEW DR APT 1J
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City | HOUSTON
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State | TX
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Zip | 77057-3605
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Country | US
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Telephone | 832-715-4445
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Fax |
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Provider Business Mailing Address
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Address Line | 1940 FOUNTAIN VIEW DR # 401
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City | HOUSTON
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State | TX
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Zip | 77057-3206
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | CASSIE WILSON
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Credential |
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Telephone | 832-715-4445
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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