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General NPI Number Information
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NPI Number | 1790790491
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Entity Type | Organization
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Legal Business Name | CITY CROWN HOME HEALTH AGENCY INC.
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Dates
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Enumeration Date | 07/30/2006
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Last Update Date | 06/22/2020
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Provider Practice Location Address
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Address Line | 1560 W BAY AREA BLVD STE 230
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City | FRIENDSWOOD
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State | TX
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Zip | 77546-2678
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Country | US
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Telephone | 281-486-2020
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Fax | 281-486-2096
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Provider Business Mailing Address
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Address Line | 1560 W BAY AREA BLVD STE 230
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City | FRIENDSWOOD
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State | TX
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Zip | 77546-2678
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Country | US
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Telephone | 281-486-2020
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Fax | 281-486-2096
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Authorized Official
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Title or Position | ALT. ADMINISTRATOR
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Name | MR. EPHRAIM E. OKAFOR
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Credential | BS; BBA; MBA
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Telephone | 281-486-2020
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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 |
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License Number State |
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