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General NPI Number Information
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NPI Number | 1306606025
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Entity Type | Organization
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Legal Business Name | ANGEL HANDS HOME CARE
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Dates
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Enumeration Date | 03/20/2024
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Last Update Date | 03/20/2024
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Provider Practice Location Address
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Address Line | 700 DELAWARE AVE
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City | MCCOMB
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State | MS
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Zip | 39648-4027
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Country | US
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Telephone | 769-204-3699
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 608
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City | NATCHEZ
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State | MS
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Zip | 39121-0608
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Country | US
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Telephone | 215-695-9145
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LATEZEON HUMPHREY BALENTINE
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Credential |
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Telephone | 215-695-9145
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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 |
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License Number State |
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