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General NPI Number Information
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NPI Number | 1295212348
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Entity Type | Organization
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Legal Business Name | L & E HOME CARE STAFFING AGENCY
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Dates
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Enumeration Date | 07/22/2018
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Last Update Date | 07/22/2018
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Provider Practice Location Address
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Address Line | 1825 3RD ST SE
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City | MOULTRIE
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State | GA
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Zip | 31768-6616
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Country | US
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Telephone | 229-319-5630
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Fax |
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Provider Business Mailing Address
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Address Line | 1825 3RD ST SE
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City | MOULTRIE
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State | GA
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Zip | 31768-6616
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/PARTNER
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Name | MRS. LATOYA LEWIS
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Credential |
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Telephone | 229-319-5630
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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 | 17-01869
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License Number State | GA
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