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General NPI Number Information
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NPI Number | 1801691076
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Entity Type | Organization
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Legal Business Name | CASTLE ASSISTED LIVING
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Dates
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Enumeration Date | 02/13/2025
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Last Update Date | 02/13/2025
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Provider Practice Location Address
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Address Line | 408 8TH ST
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City | HEMPSTEAD
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State | TX
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Zip | 77445-4661
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Country | US
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Telephone | 281-451-9024
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Fax |
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Provider Business Mailing Address
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Address Line | 408 8TH ST
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City | HEMPSTEAD
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State | TX
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Zip | 77445-4661
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Country | US
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Telephone | 281-451-9024
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MISS MILDRED JEFFERSON
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Credential |
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Telephone | 281-451-9024
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3104A0630X
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Taxonomy Name | Assisted Living Facility (Behavioral Disturbances)
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License Number |
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License Number State |
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