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General NPI Number Information
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NPI Number | 1013154467
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Entity Type | Organization
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Legal Business Name | THE MASTER'S HOME HEALTH CARE AGENCY
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Dates
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Enumeration Date | 01/07/2009
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Last Update Date | 01/07/2009
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Provider Practice Location Address
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Address Line | 2204 OUSLEYDALE RD
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City | HARTSVILLE
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State | SC
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Zip | 29550-8682
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Country | US
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Telephone | 843-861-1902
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Fax |
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Provider Business Mailing Address
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Address Line | 2204 OUSLEYDALE RD
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City | HARTSVILLE
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State | SC
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Zip | 29550-8682
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Country | US
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Telephone | 843-861-1902
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Fax |
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Authorized Official
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Title or Position | AGENCY DIRECTOR
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Name | MRS. ANNETTE LOUSIE FORD
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Credential | BA
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Telephone | 843-861-1902
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 253Z00000X
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License Number State | SC
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