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General NPI Number Information
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NPI Number | 1164927166
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Entity Type | Organization
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Legal Business Name | ALL ABOUT OUR SENIORS ADULT DAY CARE, LLC
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Dates
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Enumeration Date | 03/29/2018
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Last Update Date | 08/26/2019
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Provider Practice Location Address
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Address Line | 1306 W POINSETT ST
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City | GREER
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State | SC
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Zip | 29650-1250
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Country | US
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Telephone | 864-479-9111
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Fax | 866-562-4804
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Provider Business Mailing Address
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Address Line | 1306 W POINSETT ST
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City | GREER
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State | SC
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Zip | 29650-1250
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Country | US
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Telephone | 864-469-7192
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Fax | 866-562-4804
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Authorized Official
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Title or Position | PROGRAM DIRECTOR
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Name | TANIKA LAVET WALLACE
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Credential |
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Telephone | 864-469-7192
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number | ADC-0432
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License Number State | SC
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