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General NPI Number Information
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NPI Number | 1215079165
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Entity Type | Organization
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Legal Business Name | ANGELS OF MERCY HOME HEALTH CARE INC
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Dates
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Enumeration Date | 02/13/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 120 EAST CHURCH STREET
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City | LEWISTON
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State | NC
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Zip | 27849
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Country | US
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Telephone | 252-348-2603
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 639
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City | LEWISTON
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State | NC
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Zip | 27849-0639
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Country | US
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Telephone | 252-348-2603
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MANIKA HAZEL PARKER
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Credential |
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Telephone | 252-348-2603
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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 | HC1433
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License Number State | NC
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