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NPI 1194564781

NPI 1194564781 : EVERYDAY 24HR HOMECARE AGENCY, LLC : KOSCIUSKO, MS

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General NPI Number Information
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    NPI Number           |    1194564781
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    Entity Type          |    Organization 
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    Legal Business Name  |    EVERYDAY 24HR HOMECARE AGENCY, LLC 
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Dates
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    Enumeration Date     |    05/22/2024
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    Last Update Date     |    05/30/2024
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Provider Practice Location Address
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    Address Line         |    207C N HUNTINGTON ST 
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    City                 |    KOSCIUSKO
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    State                |    MS
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    Zip                  |    39090-3353
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    Country              |    US
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    Telephone            |    662-516-8104
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    Fax                  |    662-516-8102
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Provider Business Mailing Address
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    Address Line         |    207C N HUNTINGTON ST 
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    City                 |    KOSCIUSKO
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    State                |    MS
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    Zip                  |    39090-3353
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    Country              |    US
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    Telephone            |    662-516-8104
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    Fax                  |    662-516-8102
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Authorized Official
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    Title or Position    |    ADMINISTRATOR
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    Name                 |     MARY ELLA FOX 
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    Credential           |    C-FNP
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    Telephone            |    662-770-9460
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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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