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General NPI Number Information
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NPI Number | 1053235036
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Entity Type | Organization
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Legal Business Name | PARADISE LIVING PERSONAL CARE HOME LLC
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Dates
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Enumeration Date | 08/04/2026
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Last Update Date | 08/04/2026
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Provider Practice Location Address
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Address Line | 619 ADDERTON ST
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City | AMERICUS
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State | GA
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Zip | 31719-2901
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Country | US
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Telephone | 229-380-0562
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Fax | 833-715-3704
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Provider Business Mailing Address
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Address Line | 619 ADDERTON ST
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City | AMERICUS
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State | GA
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Zip | 31719-2901
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Country | US
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Telephone | 229-380-0562
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Fax | 833-715-3704
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | YLIESHE WILLIAMS
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Credential |
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Telephone | 229-563-2482
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 |
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