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General NPI Number Information
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NPI Number | 1245926369
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Entity Type | Organization
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Legal Business Name | SHARINGLYFE NON-MEDICAL CARE AGENCY
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Dates
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Enumeration Date | 04/12/2023
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Last Update Date | 04/12/2023
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Provider Practice Location Address
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Address Line | 1207 LEE DR
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City | CLARKSDALE
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State | MS
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Zip | 38614-3320
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Country | US
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Telephone | 662-592-5143
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Fax | 662-313-3364
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Provider Business Mailing Address
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Address Line | 1207 LEE DR
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City | CLARKSDALE
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State | MS
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Zip | 38614-3320
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Country | US
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Telephone | 662-592-5143
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Fax | 662-313-3364
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Authorized Official
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Title or Position | OWNER
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Name | LATORIA RENEEA BATTLES
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Credential |
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Telephone | 662-313-3364
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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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 | 174200000X
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Taxonomy Name | Meals Provider
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 372600000X
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Taxonomy Name | Adult Companion
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License Number |
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License Number State |
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Taxonomy #4
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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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