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General NPI Number Information
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NPI Number | 1346607645
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Entity Type | Organization
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Legal Business Name | ALLCARE HOMECARE LLC
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Dates
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Enumeration Date | 01/19/2016
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Last Update Date | 01/20/2016
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Provider Practice Location Address
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Address Line | 101 S WASHINGTON ST SUITE 102
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City | FORREST CITY
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State | AR
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Zip | 72335-3859
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Country | US
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Telephone | 870-280-2523
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Fax | 870-280-2536
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Provider Business Mailing Address
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Address Line | 521 SOUTHWEST DR
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City | JONESBORO
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State | AR
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Zip | 72401-5870
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Country | US
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Telephone | 870-933-2273
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | SONIA MARIE BOLING
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Credential | LPN
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Telephone | 870-933-2273
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | AR5162
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | AR5162
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License Number State | AR
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