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General NPI Number Information
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NPI Number | 1194382507
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Entity Type | Organization
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Legal Business Name | PROFESSIONAL AND QUALITY HOMECARE
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Dates
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Enumeration Date | 05/21/2019
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Last Update Date | 10/19/2023
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Provider Practice Location Address
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Address Line | 1180 MCKENDREE CHURCH RD STE 201
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City | LAWRENCEVILLE
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State | GA
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Zip | 30043-5207
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Country | US
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Telephone | 770-892-6820
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Fax |
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Provider Business Mailing Address
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Address Line | 1755 N BROWN RD STE 235
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City | LAWRENCEVILLE
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State | GA
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Zip | 30043-8198
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Country | US
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Telephone | 770-309-1181
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Fax |
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Authorized Official
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Title or Position | OWNER/ BSW, MHA
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Name | PHILOMENA K QUARSHIE
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Credential |
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Telephone | 770-309-1181
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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