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General NPI Number Information
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NPI Number | 1952402166
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Entity Type | Organization
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Legal Business Name | GOLDEN ACRES HEALTHCARE SERVICES, INC
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Dates
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Enumeration Date | 09/26/2006
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Last Update Date | 04/15/2016
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Provider Practice Location Address
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Address Line | 6430 RICHMOND AVE STE 130
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City | HOUSTON
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State | TX
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Zip | 77057
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Country | US
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Telephone | 832-962-4948
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Fax | 832-962-4950
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Provider Business Mailing Address
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Address Line | 6430 RICHMOND AVE. STE 130
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City | HOUSTON
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State | TX
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Zip | 77057
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Country | US
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Telephone | 832-962-4948
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Fax | 832-962-4950
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Authorized Official
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Title or Position | ADMINISTRATOR/CEO
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Name | MR. MAZEN JUMAA
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Credential |
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Telephone | 832-962-4948
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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 | 011004
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 74-7083
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License Number State | TX
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