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General NPI Number Information
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NPI Number | 1790774636
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Entity Type | Organization
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Legal Business Name | ALPHA OMEGA HOME HEALTH SERVICES, INC.
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Dates
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Enumeration Date | 10/13/2005
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Last Update Date | 01/29/2008
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Provider Practice Location Address
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Address Line | 10461 COMMERCE ROW SUITE 101
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City | MONTGOMERY
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State | TX
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Zip | 77356-3274
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Country | US
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Telephone | 936-447-2900
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Fax | 936-447-2999
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Provider Business Mailing Address
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Address Line | 10461 COMMERCE ROW SUITE 101
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City | MONTGOMERY
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State | TX
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Zip | 77356-3274
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Country | US
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Telephone | 936-447-2900
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Fax | 936-447-2999
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MRS. JANET MCCRACKEN STOTTS
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Credential | R.N.C.
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Telephone | 936-447-2900
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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 | 008846
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License Number State | TX
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