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General NPI Number Information
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NPI Number | 1215619333
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Entity Type | Organization
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Legal Business Name | ALZHEIMER'S RESPITE & RESOURCE
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Dates
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Enumeration Date | 08/07/2023
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Last Update Date | 08/15/2023
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Provider Practice Location Address
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Address Line | 117 WILLIAM HILTON PKWY
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City | HILTON HEAD
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State | SC
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Zip | 29926-5206
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Country | US
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Telephone | 843-842-6688
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Fax | 843-681-5522
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Provider Business Mailing Address
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Address Line | 117 WILLIAM HILTON PKWY
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City | HILTON HEAD
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State | SC
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Zip | 29926-5206
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Country | US
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Telephone | 843-842-6688
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | JILL E BARCIKOWSKI-HORNER
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Credential |
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Telephone | 843-842-6688
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171400000X
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Taxonomy Name | Health & Wellness Coach
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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 | 251B00000X
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Taxonomy Name | Case Management Agency
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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 | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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Taxonomy #4
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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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Taxonomy #5
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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 #6
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Taxonomy Code | 311500000X
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Taxonomy Name | Alzheimer Center (Dementia Center)
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License Number |
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License Number State |
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