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General NPI Number Information
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NPI Number | 1225568389
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Entity Type | Organization
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Legal Business Name | BALANCE HOMECARE LLC
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Dates
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Enumeration Date | 06/12/2017
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Last Update Date | 06/12/2017
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Provider Practice Location Address
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Address Line | 2611 HERMAN ST
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City | NASHVILLE
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State | TN
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Zip | 37208-3234
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Country | US
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Telephone | 615-481-9881
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Fax | 615-481-9881
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Provider Business Mailing Address
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Address Line | PO BOX 281041
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City | NASHVILLE
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State | TN
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Zip | 37228-8501
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Country | US
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Telephone | 615-481-9881
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Fax |
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | MRS. CARLA F HOWSE
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Credential |
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Telephone | 615-481-9881
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3104A0625X
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Taxonomy Name | Assisted Living Facility (Mental Illness)
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License Number |
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License Number State |
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