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General NPI Number Information
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NPI Number | 1093831976
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Entity Type | Organization
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Legal Business Name | ADMINISTRATIVE CARE SERVICES OF MADISON INC.
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Dates
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Enumeration Date | 03/22/2007
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Last Update Date | 07/21/2021
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Provider Practice Location Address
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Address Line | 311 N SERPENTINE AVE #1
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City | HOT SPRINGS
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State | NC
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Zip | 28743
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Country | US
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Telephone | 828-206-6399
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Fax | 828-622-9845
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Provider Business Mailing Address
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Address Line | PO BOX 41
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City | MARSHALL
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State | NC
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Zip | 28753
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Country | US
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Telephone | 828-206-6399
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Fax | 828-622-9845
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | TONYA JOLENE ROBERTS
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Credential |
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Telephone | 828-206-6399
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number | FCL-057-007
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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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 | 311Z00000X
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Taxonomy Name | Custodial Care Facility
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License Number |
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License Number State |
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