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General NPI Number Information
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NPI Number | 1245192681
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Entity Type | Organization
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Legal Business Name | MEMORABLE EXPERIENCE COMPASSIONATE CARE LLC
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Dates
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Enumeration Date | 11/24/2025
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 1450 N US HIGHWAY 1 STE 900
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City | ORMOND BEACH
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State | FL
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Zip | 32174-6628
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Country | US
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Telephone | 386-256-2988
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Fax | 386-256-2800
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Provider Business Mailing Address
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Address Line | 1450 N US HIGHWAY 1 STE 900
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City | ORMOND BEACH
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State | FL
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Zip | 32174-6628
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Country | US
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Telephone | 386-256-2988
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Fax | 386-256-2800
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Authorized Official
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Title or Position | CEO
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Name | MS. MARKECIA DWANICA ENGLISH
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Credential | B.A.S SUPERVIS/ MANG
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Telephone | 386-453-0238
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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