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General NPI Number Information
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NPI Number | 1003368036
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Entity Type | Organization
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Legal Business Name | TENDER HANDS PRIVATE HOMECARE INC
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Dates
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Enumeration Date | 10/25/2016
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Last Update Date | 05/16/2022
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Provider Practice Location Address
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Address Line | 461 W CROGAN ST
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City | LAWRENCEVILLE
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State | GA
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Zip | 30046-4735
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Country | US
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Telephone | 470-299-2090
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Fax | 678-786-2037
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Provider Business Mailing Address
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Address Line | 310 BRITTNEY CV
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City | LOGANVILLE
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State | GA
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Zip | 30052-6937
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Country | US
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Telephone | 678-308-9914
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Fax | 678-786-2037
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | CARREN WOOLERY
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Credential | RN
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Telephone | 678-308-9914
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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 | 251J00000X
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Taxonomy Name | Nursing Care Agency
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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 | 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 | GA
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Taxonomy #4
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Taxonomy Code | 372600000X
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Taxonomy Name | Adult Companion
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License Number |
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License Number State | GA
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Taxonomy #5
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Taxonomy Code | 3747A0650X
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Taxonomy Name | Attendant Care Provider
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License Number |
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License Number State | GA
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Taxonomy #6
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State | GA
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Taxonomy #7
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State | GA
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Taxonomy #8
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State | GA
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Taxonomy #9
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Taxonomy Code | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number |
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License Number State | GA
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Taxonomy #10
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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 | GA
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