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General NPI Number Information
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NPI Number | 1801611033
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Entity Type | Organization
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Legal Business Name | HEARTLAND HOUSE, INC
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Dates
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Enumeration Date | 11/21/2024
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Last Update Date | 11/21/2024
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Provider Practice Location Address
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Address Line | 2605 N COUNTY ROAD 1700
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City | LUBBOCK
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State | TX
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Zip | 79416-9627
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Country | US
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Telephone | 806-765-6480
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Fax | 806-771-3603
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Provider Business Mailing Address
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Address Line | 2605 N COUNTY ROAD 1700
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City | LUBBOCK
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State | TX
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Zip | 79416-9627
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Country | US
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Telephone | 806-765-6480
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Fax | 806-771-3603
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | KRISTI TOWNSEN
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Credential | CFA
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Telephone | 806-765-6480
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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