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General NPI Number Information
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NPI Number | 1003024712
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Entity Type | Organization
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Legal Business Name | ADVANCED PERSONAL CARE SERVICES, INC.
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Dates
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Enumeration Date | 05/18/2007
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Last Update Date | 12/09/2024
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Provider Practice Location Address
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Address Line | 1800 CAROL SUE AVE STE 6
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City | GRETNA
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State | LA
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Zip | 70056-4124
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Country | US
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Telephone | 504-227-0773
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Fax | 504-227-0715
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Provider Business Mailing Address
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Address Line | 1800 CAROL SUE AVE STE 6
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City | GRETNA
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State | LA
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Zip | 70056-4124
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Country | US
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Telephone | 504-227-0773
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Fax | 504-227-0715
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Authorized Official
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Title or Position | CEO
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Name | MRS. DEATRA MONIQUE MATTHEWS
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Credential |
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Telephone | 504-227-0773
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number | PCA12187
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License Number State | LA
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