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General NPI Number Information
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NPI Number | 1265252480
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Entity Type | Organization
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Legal Business Name | HELEN'S HAVEN WELLNESS CENTER
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Dates
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Enumeration Date | 10/14/2024
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Last Update Date | 10/14/2024
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Provider Practice Location Address
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Address Line | 118 SHADY HEIGHTS DR
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City | LIVINGSTON
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State | AL
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Zip | 35470-5200
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Country | US
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Telephone | 205-499-8925
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1725
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City | LIVINGSTON
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State | AL
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Zip | 35470-1725
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Country | US
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Telephone | 205-499-8925
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DEBBIE LENETT EGEJURU
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Credential | RN
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Telephone | 205-499-8925
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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