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NPI 1326238197

NPI 1326238197 : E & I HELPING HANDS PERSONAL CARE HOME INC : VIDALIA, GA

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General NPI Number Information
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    NPI Number           |    1326238197
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    Entity Type          |    Organization 
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    Legal Business Name  |    E & I HELPING HANDS PERSONAL CARE HOME INC 
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Dates
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    Enumeration Date     |    07/27/2007
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    Last Update Date     |    07/27/2007
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Provider Practice Location Address
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    Address Line         |    506 GRAND ST 
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    City                 |    VIDALIA
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    State                |    GA
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    Zip                  |    30474-4024
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    Country              |    US
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    Telephone            |    912-536-3898
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    Fax                  |    912-537-4652
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Provider Business Mailing Address
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    Address Line         |    506 GRAND ST 
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    City                 |    VIDALIA
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    State                |    GA
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    Zip                  |    30474-4024
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    Country              |    US
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    Telephone            |    912-536-3898
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    Fax                  |    912-537-4652
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Authorized Official
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    Title or Position    |    ADMINISTRATOR
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    Name                 |     BETTY T DAY 
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    Credential           |    
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    Telephone            |    912-536-3898
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    320900000X
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    Taxonomy Name        |    Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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    License Number       |    
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    License Number State |    GA
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