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General NPI Number Information
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NPI Number | 1851841274
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Entity Type | Organization
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Legal Business Name | JONES HOUSE OF PEACE
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Dates
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Enumeration Date | 10/10/2016
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Last Update Date | 02/22/2018
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Provider Practice Location Address
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Address Line | 6639 CRESTMONT ST
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City | HOUSTON
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State | TX
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Zip | 77033-1034
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Country | US
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Telephone | 713-829-9912
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Fax |
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Provider Business Mailing Address
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Address Line | 6639 CRESTMONT ST
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City | HOUSTON
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State | TX
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Zip | 77033-1034
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Country | US
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Telephone | 713-829-9912
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SABRINA FREISON
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Credential |
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Telephone | 713-447-0082
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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 | 143162
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | 145654
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License Number State | TX
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