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General NPI Number Information
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NPI Number | 1215575675
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Entity Type | Organization
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Legal Business Name | ABIGAYLE ADULT DAY CARE
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Dates
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Enumeration Date | 12/17/2019
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Last Update Date | 06/07/2023
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Provider Practice Location Address
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Address Line | 205 INDUSTRIAL CV
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City | RIDGELAND
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State | MS
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Zip | 39157-2715
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Country | US
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Telephone | 601-607-7820
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Fax |
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Provider Business Mailing Address
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Address Line | 205 INDUSTRIAL CV
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City | RIDGELAND
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State | MS
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Zip | 39157-2715
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Country | US
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Telephone | 601-607-7820
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TONYA S. DONALD
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Credential |
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Telephone | 601-927-8577
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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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Taxonomy #2
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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