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General NPI Number Information
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NPI Number | 1255868170
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Entity Type | Organization
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Legal Business Name | HOME SWEET HOME SENIOR CARE
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Dates
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Enumeration Date | 05/23/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1 CHASE CORPORATE DRIVE SUITE 400
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City | BIRMINGHAM
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State | AL
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Zip | 35244
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Country | US
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Telephone | 205-313-6418
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Fax | 205-313-6394
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Provider Business Mailing Address
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Address Line | 1 CHASE CORPORATE DR STE 400
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City | HOOVER
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State | AL
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Zip | 35244-7001
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Country | US
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Telephone | 205-313-6418
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Fax | 205-313-6394
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | EMMA WILLIAMS
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Credential |
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Telephone | 205-313-6418
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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 | 17003466
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License Number State | AL
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