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General NPI Number Information
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NPI Number | 1235044074
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Entity Type | Organization
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Legal Business Name | MADEAS FAMILY HOME CARE
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Dates
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Enumeration Date | 08/17/2026
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Last Update Date | 08/17/2026
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Provider Practice Location Address
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Address Line | 3815 DONNELL RIDGE RD APT 1303
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City | CONWAY
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State | AR
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Zip | 72034-8787
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Country | US
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Telephone | 501-208-8034
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Fax |
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Provider Business Mailing Address
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Address Line | 813 OAK ST 10-1074
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City | CONWAY
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State | AR
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Zip | 72032
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Country | US
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Telephone | 502-208-8034
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. AQUILA PATTON
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Credential |
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Telephone | 501-208-8034
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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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