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General NPI Number Information
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NPI Number | 1215286182
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Entity Type | Organization
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Legal Business Name | ALWAYS ON TIME HOMECARE LLC
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Dates
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Enumeration Date | 09/06/2012
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Last Update Date | 04/02/2018
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Provider Practice Location Address
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Address Line | 56 N MAIN ST
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City | LUTHERSVILLE
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State | GA
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Zip | 30251-1510
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Country | US
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Telephone | 770-927-0309
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Fax | 770-927-3119
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Provider Business Mailing Address
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Address Line | P O BOX 206
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City | LUTHERSVILLE
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State | GA
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Zip | 30251-0206
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MARY JACKSON
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Credential |
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Telephone | 770-927-0309
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 099-R-1111
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License Number State | GA
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