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General NPI Number Information
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NPI Number | 1124387766
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Entity Type | Organization
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Legal Business Name | THE HANDS OF GRACE AND MERCY ALF
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Dates
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Enumeration Date | 05/15/2012
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Last Update Date | 02/18/2022
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Provider Practice Location Address
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Address Line | 3808 AVENUE L
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City | FORT PIERCE
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State | FL
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Zip | 34947-2362
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Country | US
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Telephone | 772-766-5078
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Fax | 772-409-4408
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Provider Business Mailing Address
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Address Line | 3808 AVENUE L
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City | FORT PIERCE
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State | FL
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Zip | 34947-2362
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Country | US
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Telephone | 772-766-5078
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Fax | 772-672-4650
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Authorized Official
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Title or Position | OWNER/DIRECTOR
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Name | MS. RUTH H. FREEMAN-WHEELER
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Credential |
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Telephone | 772-766-5078
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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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 | 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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Taxonomy #4
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Taxonomy Code | 3747A0650X
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Taxonomy Name | Attendant Care Provider
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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 | 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 #6
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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 |
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