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General NPI Number Information
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NPI Number | 1306475942
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Entity Type | Organization
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Legal Business Name | RIVERS HOME CARE SERVICE, LLC.
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Dates
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Enumeration Date | 04/06/2020
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Last Update Date | 04/06/2020
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Provider Practice Location Address
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Address Line | 1608 CHEVY CHASE RD
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City | SAVANNAH
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State | GA
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Zip | 31415-7809
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Country | US
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Telephone | 912-436-2397
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Fax |
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Provider Business Mailing Address
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Address Line | 1608 CHEVY CHASE RD
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City | SAVANNAH
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State | GA
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Zip | 31415-7809
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Country | US
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Telephone | 912-436-2397
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | OCTAVIA RIVERS
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Credential | C.N.A.
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Telephone | 912-436-2397
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number |
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License Number State |
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