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General NPI Number Information
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NPI Number | 1255635074
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Entity Type | Organization
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Legal Business Name | HELPING HANDS LLC (RESPITE CARE)
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Dates
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Enumeration Date | 01/08/2011
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Last Update Date | 12/02/2015
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Provider Practice Location Address
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Address Line | 12266 ASHLEY DR
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City | GULFPORT
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State | MS
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Zip | 39503-2759
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Country | US
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Telephone | 228-539-0177
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Fax |
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Provider Business Mailing Address
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Address Line | 12266 ASHLEY DR
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City | GULFPORT
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State | MS
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Zip | 39503-2759
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Country | US
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Telephone | 888-590-9446
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Fax |
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | MS. PERKELA BURCHETT
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Credential |
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Telephone | 228-860-8967
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number | 6373
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number | 6373
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License Number State | MS
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Taxonomy #3
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number | 6373
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License Number State | MS
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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 | 6373
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License Number State | MS
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