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General NPI Number Information
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NPI Number | 1255151890
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Entity Type | Organization
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Legal Business Name | ADORATION HOME HEALTH CARE GEORGIA, LLC
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Dates
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Enumeration Date | 10/16/2024
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Last Update Date | 10/16/2024
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Provider Practice Location Address
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Address Line | 1811 GREEN CIR
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City | VALDOSTA
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State | GA
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Zip | 31602-2734
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Country | US
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Telephone | 229-253-1242
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Fax |
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Provider Business Mailing Address
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Address Line | 805 N WHITTINGTON PKWY
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City | LOUISVILLE
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State | KY
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Zip | 40222-7101
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Country | US
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Telephone | 502-394-2100
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Fax |
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Authorized Official
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Title or Position | MANAGER & VICE PRESIDENT
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Name | MARGARET SHERRY PEMBERTON
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Credential |
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Telephone | 502-394-2100
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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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