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General NPI Number Information
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NPI Number | 1215340690
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Entity Type | Organization
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Legal Business Name | HARVEST HEALTH SERVICES, LLC
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Dates
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Enumeration Date | 06/03/2014
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Last Update Date | 12/23/2025
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Provider Practice Location Address
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Address Line | 3409 CYPRESS BEND TRL
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City | FAYETTEVILLE
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State | NC
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Zip | 28306-0055
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Country | US
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Telephone | 910-728-2908
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Fax | 910-920-9090
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Provider Business Mailing Address
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Address Line | 3409 CYPRESS BEND TRL
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City | FAYETTEVILLE
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State | NC
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Zip | 28306-0055
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Country | US
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Telephone | 910-728-2908
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Fax | 910-920-9090
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Authorized Official
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Title or Position | CEO
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Name | MRS. CORDELIA C DAVIS
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Credential | CEO
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Telephone | 910-728-2908
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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 |
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License Number State |
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