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General NPI Number Information
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NPI Number | 1194850651
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Entity Type | Organization
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Legal Business Name | WE CARE MINISTRIES OUTREACH PROGRAM
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Dates
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Enumeration Date | 02/23/2007
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Last Update Date | 08/31/2023
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Provider Practice Location Address
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Address Line | 750 OUIDA DRIVE
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City | NATCHITOCHES
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State | LA
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Zip | 71457-0000
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Country | US
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Telephone | 318-352-5961
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Fax | 318-352-5965
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Provider Business Mailing Address
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Address Line | 750 OUIDA DRIVE
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City | NATCHITOCHES
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State | LA
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Zip | 71457-0000
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Country | US
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Telephone | 318-352-5961
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Fax | 318-352-5965
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. GUS JOHNSON JR.
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Credential |
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Telephone | 318-527-9459
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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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Taxonomy #2
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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