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General NPI Number Information
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NPI Number | 1104305812
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Entity Type | Organization
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Legal Business Name | KAY'S UNLIMITED CARE
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Dates
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Enumeration Date | 08/13/2018
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Last Update Date | 08/13/2018
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Provider Practice Location Address
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Address Line | 116 ANGEL ROCK LN
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City | BROUSSARD
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State | LA
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Zip | 70518-5279
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Country | US
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Telephone | 337-356-3576
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 319
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City | YOUNGSVILLE
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State | LA
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Zip | 70592-0319
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Country | US
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Telephone | 337-552-6183
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Fax | 337-330-2501
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Authorized Official
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Title or Position | OWNER
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Name | MRS. KENYETTA COLBERT
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Credential | RHIA, CCS
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Telephone | 337-552-6183
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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 | 006425
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License Number State | LA
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