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General NPI Number Information
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NPI Number | 1093969677
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Entity Type | Organization
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Legal Business Name | AMERACARE FAMILY HOSPICE, LLC
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Dates
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Enumeration Date | 11/10/2008
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Last Update Date | 04/20/2021
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Provider Practice Location Address
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Address Line | 303 W. 21ST AVENUE
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City | COVINGTON
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State | LA
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Zip | 70433
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Country | US
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Telephone | 985-893-3301
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Fax | 985-893-3401
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Provider Business Mailing Address
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Address Line | 303 W 21ST AVE
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City | COVINGTON
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State | LA
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Zip | 70433-3153
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Country | US
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Telephone | 985-386-7800
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Fax | 985-635-6936
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Authorized Official
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Title or Position | OWNER/MEMBER
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Name | MILTON R MIZE
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Credential |
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Telephone | 985-635-6900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number | 151
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License Number State | LA
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