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General NPI Number Information
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NPI Number | 1245846138
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Entity Type | Organization
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Legal Business Name | PERSONALIZED HOME CARE SERVICES
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Dates
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Enumeration Date | 09/16/2020
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Last Update Date | 01/04/2022
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Provider Practice Location Address
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Address Line | 501 W BUTLER RD STE A2
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City | GREENVILLE
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State | SC
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Zip | 29607-4879
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Country | US
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Telephone | 864-552-1042
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Fax | 864-552-1052
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Provider Business Mailing Address
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Address Line | 501 W BUTLER RD STE A2
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City | GREENVILLE
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State | SC
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Zip | 29607-4879
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Country | US
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Telephone | 864-552-1042
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Fax | 864-552-1052
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Authorized Official
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Title or Position | OWNER
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Name | NATAUSHA BLAKLEY
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Credential |
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Telephone | 864-787-7891
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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Taxonomy #2
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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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