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General NPI Number Information
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NPI Number | 1184117731
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Entity Type | Organization
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Legal Business Name | SUPPORTIVE IN-HOME CARE, INC
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Dates
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Enumeration Date | 06/08/2018
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Last Update Date | 05/13/2025
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Provider Practice Location Address
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Address Line | 4113 OVERTON CROSSING ST
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City | MEMPHIS
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State | TN
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Zip | 38127-3419
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Country | US
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Telephone | 901-314-5499
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Fax | 901-257-4436
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Provider Business Mailing Address
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Address Line | 4113 OVERTON CROSSING ST
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City | MEMPHIS
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State | TN
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Zip | 38127-3419
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Country | US
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Telephone | 901-314-5499
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | BRITTANY SNEED
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Credential |
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Telephone | 901-314-5499
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 372600000X
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Taxonomy Name | Adult Companion
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License Number | I000000022308
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License Number State | TN
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