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General NPI Number Information
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NPI Number | 1174447155
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Entity Type | Organization
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Legal Business Name | ALLIANCE CARE HOME LLC
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Dates
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Enumeration Date | 08/05/2026
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Last Update Date | 08/05/2026
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Provider Practice Location Address
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Address Line | 3652 SAPULPA ST
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City | CHATTANOOGA
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State | TN
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Zip | 37406-1648
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Country | US
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Telephone | 423-314-0102
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Fax |
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Provider Business Mailing Address
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Address Line | 510 PREMA DR
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City | CHATTANOOGA
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State | TN
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Zip | 37412-6907
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Country | US
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Telephone | 423-314-0102
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LAKIESHA CANNON
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Credential |
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Telephone | 423-314-0102
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State |
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