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General NPI Number Information
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NPI Number | 1134811607
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Entity Type | Organization
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Legal Business Name | GRAYS HOME CARE LLC
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Dates
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Enumeration Date | 05/23/2023
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Last Update Date | 01/24/2025
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Provider Practice Location Address
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Address Line | 1830 OWEN DR STE 10-11
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City | FAYETTEVILLE
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State | NC
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Zip | 28304-1611
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Country | US
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Telephone | 910-824-8032
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Fax | 910-401-1941
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Provider Business Mailing Address
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Address Line | 1830 OWEN DR STE 10-11
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City | FAYETTEVILLE
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State | NC
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Zip | 28304-1611
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Country | US
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Telephone | 910-824-8032
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Fax | 910-401-1941
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MS. ALEXIS SHIPE
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Credential |
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Telephone | 910-824-8032
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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