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General NPI Number Information
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NPI Number | 1114703493
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Entity Type | Organization
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Legal Business Name | HEALING HANDS HOMECARE INC.
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Dates
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Enumeration Date | 09/04/2023
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Last Update Date | 07/31/2024
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Provider Practice Location Address
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Address Line | 6028 CHESTER AVE STE 200
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City | JACKSONVILLE
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State | FL
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Zip | 32217-2285
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Country | US
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Telephone | 904-274-2863
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Fax | 904-467-3137
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Provider Business Mailing Address
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Address Line | 6028 CHESTER AVE STE 200
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City | JACKSONVILLE
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State | FL
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Zip | 32217-2285
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Country | US
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Telephone | 904-274-2863
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Fax | 904-467-3137
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Authorized Official
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Title or Position | CEO
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Name | MISS LASEANE J PLATTS
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Credential | CNA
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Telephone | 904-616-8313
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WW0000X
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Taxonomy Name | Wound Care Registered Nurse
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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 | 372600000X
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Taxonomy Name | Adult Companion
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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 | 374U00000X
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Taxonomy Name | Home Health Aide
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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 | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number |
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License Number State |
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Taxonomy #6
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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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