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General NPI Number Information
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NPI Number | 1114085081
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Entity Type | Organization
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Legal Business Name | HOME LIFE CARE INC
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Dates
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Enumeration Date | 12/04/2006
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Last Update Date | 03/17/2017
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Provider Practice Location Address
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Address Line | 567 US HIGHWAY 64 W
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City | PLYMOUTH
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State | NC
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Zip | 27962-2144
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Country | US
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Telephone | 252-791-3033
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Fax | 252-791-3031
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Provider Business Mailing Address
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Address Line | PO BOX 1106
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City | AHOSKIE
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State | NC
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Zip | 27910-1106
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Country | US
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Telephone | 252-332-8265
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Fax | 252-332-1966
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Authorized Official
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Title or Position | DIRECTOR
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Name | MS. MELISSA KING
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Credential |
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Telephone | 252-332-8265
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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 | HC2088
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License Number State | NC
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