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General NPI Number Information
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NPI Number | 1235649401
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Entity Type | Organization
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Legal Business Name | BEAUTIFUL BLESSINGS HOME CARE, LLC
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Dates
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Enumeration Date | 10/02/2017
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Last Update Date | 10/02/2017
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Provider Practice Location Address
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Address Line | 331 E MAIN ST STE 200
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City | ROCK HILL
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State | SC
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Zip | 29730-5384
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Country | US
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Telephone | 803-504-1080
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Fax |
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Provider Business Mailing Address
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Address Line | 331 E MAIN ST STE 200
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City | ROCK HILL
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State | SC
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Zip | 29730-5384
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Country | US
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Telephone | 803-504-1080
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | FELICIA JENKINS
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Credential | RN
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Telephone | 803-504-1080
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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 | IHCP-06947
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License Number State | SC
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