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General NPI Number Information
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NPI Number | 1821580481
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Entity Type | Organization
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Legal Business Name | MI AMOR HOME & COMMUNITY SERVICES, LLC
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Dates
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Enumeration Date | 05/30/2018
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Last Update Date | 05/30/2018
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Provider Practice Location Address
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Address Line | 8151 BROADWAY ST
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City | SAN ANTONIO
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State | TX
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Zip | 78209-1995
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Country | US
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Telephone | 210-291-9112
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Fax | 210-290-9060
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Provider Business Mailing Address
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Address Line | 2030 ODESSA DR
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City | SAN ANTONIO
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State | TX
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Zip | 78220-4721
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Country | US
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Telephone | 210-291-9112
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Fax | 210-290-9060
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Authorized Official
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Title or Position | OWNER
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Name | MS. GIANNA RECIO
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Credential | RN
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Telephone | 210-291-9112
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State |
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