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General NPI Number Information
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NPI Number | 1114810462
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Entity Type | Organization
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Legal Business Name | MRS HOMECARE, INC.
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Dates
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Enumeration Date | 06/03/2025
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Last Update Date | 06/03/2025
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Provider Practice Location Address
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Address Line | 2310 CRAWFORD RD STE 106
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City | PHENIX CITY
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State | AL
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Zip | 36867-3612
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Country | US
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Telephone | 706-596-8855
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Fax | 706-596-0404
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Provider Business Mailing Address
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Address Line | PO BOX 568
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City | ALBANY
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State | GA
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Zip | 31702-0568
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Country | US
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Telephone | 229-520-5709
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Fax | 229-520-5002
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | JAMES WALL
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Credential |
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Telephone | 295-205-7092
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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