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General NPI Number Information
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NPI Number | 1184298796
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Entity Type | Organization
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Legal Business Name | ELIZA CARES HOMECARE, LLC
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Dates
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Enumeration Date | 05/18/2021
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Last Update Date | 05/18/2021
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Provider Practice Location Address
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Address Line | 201 3RD AVE N STE 7
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City | AMORY
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State | MS
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Zip | 38821-3413
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Country | US
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Telephone | 662-372-5793
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Fax |
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Provider Business Mailing Address
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Address Line | 139 BELLE MEADE DR
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City | SALTILLO
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State | MS
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Zip | 38866-9396
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Country | US
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Telephone | 662-813-3133
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Fax | 662-813-3133
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Authorized Official
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Title or Position | FOUNDER
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Name | JENNIFER KEY JERNIGHAN
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Credential | RN
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Telephone | 662-813-3133
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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