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General NPI Number Information
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NPI Number | 1114830288
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Entity Type | Organization
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Legal Business Name | RLS PRIVATE HOME CARR INC
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Dates
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Enumeration Date | 09/28/2026
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Last Update Date | 09/28/2026
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Provider Practice Location Address
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Address Line | 2555 FLAT SHOALS RD APT 1802
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City | SOUTH FULTON
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State | GA
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Zip | 30349-4373
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Country | US
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Telephone | 770-885-2983
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Fax |
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Provider Business Mailing Address
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Address Line | 2555 FLAT SHOALS RD APT 1802
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City | SOUTH FULTON
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State | GA
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Zip | 30349-4373
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Country | US
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Telephone | 770-885-2983
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. JONATHAN RICHMOND
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Credential |
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Telephone | 770-885-2983
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State | NULL
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