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General NPI Number Information
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NPI Number | 1255119475
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Entity Type | Organization
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Legal Business Name | LEGACY ASSURED HOME CARE, LLC
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Dates
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Enumeration Date | 09/19/2023
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Last Update Date | 09/19/2023
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Provider Practice Location Address
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Address Line | 6304 GARRARD AVE STE B
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City | SAVANNAH
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State | GA
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Zip | 31405-2737
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Country | US
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Telephone | 912-358-8438
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Fax | 912-239-6657
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Provider Business Mailing Address
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Address Line | 6304 GARRARD AVE STE B
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City | SAVANNAH
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State | GA
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Zip | 31405-2737
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Country | US
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Telephone | 912-358-8438
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Fax | 912-239-6657
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Authorized Official
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Title or Position | OWNER
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Name | MR. TERRANCE LEON ARGROW
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Credential | BSHA
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Telephone | 912-358-8438
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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 |
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License Number State |
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