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General NPI Number Information
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NPI Number | 1922839026
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Entity Type | Organization
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Legal Business Name | CHATEAUX SERENITY LLC
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Dates
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Enumeration Date | 08/09/2024
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Last Update Date | 08/09/2024
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Provider Practice Location Address
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Address Line | 14109 HORSESHOE BND
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City | CONROE
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State | TX
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Zip | 77384-3521
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Country | US
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Telephone | 936-270-0079
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Fax | 936-270-0070
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Provider Business Mailing Address
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Address Line | 10802 ANCHOR WAY
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City | MAGNOLIA
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State | TX
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Zip | 77354-6688
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Country | US
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Telephone | 832-830-3495
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Fax | 936-270-0070
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Authorized Official
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Title or Position | DIRECTOR OF NURSING
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Name | VERONIQUE HEIDY MCCOWAN
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Credential | RN
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Telephone | 832-830-3495
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3104A0630X
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Taxonomy Name | Assisted Living Facility (Behavioral Disturbances)
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License Number |
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License Number State |
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