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General NPI Number Information
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NPI Number | 1891535340
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Entity Type | Organization
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Legal Business Name | AMAZING GRACE HOMECARE SERVICES LLC
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Dates
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Enumeration Date | 05/30/2024
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Last Update Date | 05/30/2024
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Provider Practice Location Address
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Address Line | 1020 SUGARDALE CT
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City | SUGAR LAND
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State | TX
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Zip | 77498-2760
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Country | US
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Telephone | 832-449-8153
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Fax |
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Provider Business Mailing Address
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Address Line | 1020 SUGARDALE CT
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City | SUGAR LAND
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State | TX
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Zip | 77498-2760
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Country | US
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Telephone | 832-449-8153
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. URE WARIBOKO
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Credential | MBA
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Telephone | 713-443-6094
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 177F00000X
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Taxonomy Name | Lodging Provider
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License Number |
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License Number State |
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