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NPI 1871951236

NPI 1871951236 : BELLOS MOMENTOS HOMECARE INC : MISSION, TX

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General NPI Number Information
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    NPI Number           |    1871951236
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    Entity Type          |    Organization 
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    Legal Business Name  |    BELLOS MOMENTOS HOMECARE INC 
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Dates
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    Enumeration Date     |    02/01/2016
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    Last Update Date     |    07/28/2022
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Provider Practice Location Address
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    Address Line         |    1011 W 27TH ST 
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    City                 |    MISSION
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    State                |    TX
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    Zip                  |    78574
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    Country              |    US
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    Telephone            |    956-587-1023
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 485 
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    City                 |    MISSION
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    State                |    TX
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    Zip                  |    78573-0009
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    Country              |    US
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    Telephone            |    956-929-5921
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    Fax                  |    844-302-0895
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     JENNIFER  MUNGUIA 
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    Credential           |    
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    Telephone            |    956-587-1023
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    3747P1801X
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    Taxonomy Name        |    Personal Care Attendant
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    License Number       |    
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    License Number State |    
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