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General NPI Number Information
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NPI Number | 1215350210
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Entity Type | Organization
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Legal Business Name | HEALING HEARTS WITH LOVE HOME CARE
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Dates
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Enumeration Date | 01/27/2014
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 309 FULLER AVE
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City | DYERSBURG
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State | TN
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Zip | 38024-4136
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Country | US
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Telephone | 731-589-2837
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Fax |
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Provider Business Mailing Address
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Address Line | 309 FULLER AVE
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City | DYERSBURG
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State | TN
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Zip | 38024-4136
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Country | US
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Telephone | 731-589-2837
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Fax |
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Authorized Official
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Title or Position | LPN/CEO
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Name | DONASHA MOSLEY
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Credential |
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Telephone | 731-589-2837
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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 | TN
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