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General NPI Number Information
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NPI Number | 1962880674
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Entity Type | Organization
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Legal Business Name | GOD BE WILLING HOME CARE
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Dates
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Enumeration Date | 05/13/2015
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Last Update Date | 05/13/2015
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Provider Practice Location Address
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Address Line | 18307 WILLOW MOSS DR
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City | KATY
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State | TX
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Zip | 77449-7247
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Country | US
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Telephone | 281-509-5907
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Fax |
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Provider Business Mailing Address
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Address Line | 18307 WILLOW MOSS DR
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City | KATY
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State | TX
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Zip | 77449-7247
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Country | US
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Telephone | 281-509-5907
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Fax |
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | CHANDRA DENEAN WILLIAMS
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Credential |
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Telephone | 281-509-5907
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 323P00000X
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Taxonomy Name | Psychiatric Residential Treatment Facility
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License Number |
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License Number State |
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