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General NPI Number Information
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NPI Number | 1003118670
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Entity Type | Organization
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Legal Business Name | RESTORATION HOME CARE SERVICES INC.
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Dates
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Enumeration Date | 12/02/2010
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Last Update Date | 10/27/2021
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Provider Practice Location Address
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Address Line | 410 1ST AVE S STE 3
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City | CONOVER
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State | NC
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Zip | 28613-2704
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Country | US
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Telephone | 704-325-3814
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Fax | 704-325-3812
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Provider Business Mailing Address
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Address Line | 410 1ST AVE S STE 3
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City | CONOVER
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State | NC
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Zip | 28613-2704
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Country | US
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Telephone | 704-325-3814
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Fax | 704-325-3812
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | MRS. DIANE MAYFIELD SHERRILL
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Credential |
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Telephone | 704-325-3814
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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 | HC3970
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License Number State | NC
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