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General NPI Number Information
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NPI Number | 1952164535
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Entity Type | Organization
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Legal Business Name | ACCESS COMMUNITY LIVING SERVICES INC
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Dates
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Enumeration Date | 02/05/2024
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Last Update Date | 02/05/2024
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Provider Practice Location Address
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Address Line | 21703 KINGSLAND BLVD STE 103
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City | KATY
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State | TX
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Zip | 77450-2521
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Country | US
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Telephone | 346-309-4935
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Fax | 832-391-6137
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Provider Business Mailing Address
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Address Line | 21703 KINGSLAND BLVD STE 103
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City | KATY
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State | TX
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Zip | 77450-2521
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Country | US
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Telephone | 346-309-4935
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Fax | 832-391-6137
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Authorized Official
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Title or Position | DIRECTOR
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Name | STELLA ANDREWS
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Credential | RN
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Telephone | 346-309-4935
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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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 |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3104A0625X
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Taxonomy Name | Assisted Living Facility (Mental Illness)
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License Number |
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License Number State |
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