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General NPI Number Information
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NPI Number | 1225341332
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Entity Type | Organization
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Legal Business Name | HALEY'S HOUSE INC
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Dates
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Enumeration Date | 07/18/2010
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Last Update Date | 07/18/2010
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Provider Practice Location Address
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Address Line | 16650 SW 55TH COURT RD
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City | OCALA
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State | FL
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Zip | 34473-0600
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Country | US
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Telephone | 352-245-7715
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Fax | 352-245-9180
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Provider Business Mailing Address
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Address Line | 16650 SW 55TH COURT RD
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City | OCALA
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State | FL
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Zip | 34473-0600
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Country | US
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Telephone | 352-245-7715
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Fax | 352-245-9180
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Authorized Official
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Title or Position | OWNER/OPERATIONAL
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Name | MAHALIE JEAN HESTER
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Credential |
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Telephone | 352-245-7715
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State | FL
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