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General NPI Number Information
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NPI Number | 1083416416
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Entity Type | Organization
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Legal Business Name | AUTUMN HOME CARE SERVICES
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Dates
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Enumeration Date | 03/26/2025
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Last Update Date | 04/29/2025
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Provider Practice Location Address
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Address Line | 1033 WADE AVE STE 200
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City | RALEIGH
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State | NC
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Zip | 27605-1155
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Country | US
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Telephone | 919-627-1111
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Fax |
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Provider Business Mailing Address
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Address Line | 918 RIVERS EDGE DR
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City | GRAHAM
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State | NC
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Zip | 27253-8716
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Country | US
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Telephone | 919-627-1111
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Fax |
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Authorized Official
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Title or Position | AGENCY DIRECTOR AND CEO
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Name | MRS. SONDRA TRICE-JONES
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Credential |
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Telephone | 919-627-1111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management 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 | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #4
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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 |
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