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General NPI Number Information
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NPI Number | 1245800036
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Entity Type | Organization
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Legal Business Name | NOUKYS HOME HEALTH AGENCY AND COMPANIONSHIP INC
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Dates
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Enumeration Date | 06/25/2021
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Last Update Date | 06/25/2021
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Provider Practice Location Address
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Address Line | 5000 W MIDWAY RD # 13626
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City | FORT PIERCE
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State | FL
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Zip | 34981-4827
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Country | US
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Telephone | 855-261-1140
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Fax | 856-291-0680
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Provider Business Mailing Address
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Address Line | 5000 W MIDWAY RD # 13626
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City | FORT PIERCE
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State | FL
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Zip | 34981-4827
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Country | US
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Telephone | 855-261-1140
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Fax | 856-291-0680
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Authorized Official
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Title or Position | MANAGER
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Name | MANOUCHEKA FAVARD
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Credential | CNA
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Telephone | 855-261-1140
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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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