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General NPI Number Information
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NPI Number | 1902942337
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Entity Type | Organization
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Legal Business Name | EL SAINT JOHN'S HOME HEALTH SERVICES
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Dates
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Enumeration Date | 01/30/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1556 NORTH FLETCHER ST.
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City | JASPER
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State | TX
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Zip | 75951
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Country | US
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Telephone | 409-384-2097
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Fax | 409-384-2236
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Provider Business Mailing Address
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Address Line | 1556 N, FLETCHER ST
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City | JASPER
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State | TX
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Zip | 75951
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Country | US
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Telephone | 409-384-2097
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Fax | 409-384-2236
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Authorized Official
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Title or Position | DIRECTOR OF NURSING
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Name | MRS. DOROTHY WASHINGTON
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Credential | RN
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Telephone | 409-384-2097
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 443219
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License Number State | TX
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