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General NPI Number Information
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NPI Number | 1124200647
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Entity Type | Organization
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Legal Business Name | NORA'S HOUSE ADULT DAY HEALTH CARE CENTER
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Dates
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Enumeration Date | 11/27/2007
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Last Update Date | 12/11/2007
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Provider Practice Location Address
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Address Line | 1411 SHERROUSE ST
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City | MONROE
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State | LA
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Zip | 71203-5435
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Country | US
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Telephone | 318-388-8550
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Fax | 318-325-6773
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Provider Business Mailing Address
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Address Line | 1103 SHERROUSE ST
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City | MONROE
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State | LA
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Zip | 71203-5233
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Country | US
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Telephone | 318-651-8666
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Fax | 318-325-6773
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. ESTHER LOUISE GALLOW
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Credential |
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Telephone | 318-325-6777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number | ADHC 5040
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License Number State | LA
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