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General NPI Number Information
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NPI Number | 1346704541
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Entity Type | Organization
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Legal Business Name | TOTAL CARE GROUP HOMES, LLC
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Dates
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Enumeration Date | 01/22/2019
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Last Update Date | 07/07/2020
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Provider Practice Location Address
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Address Line | 15181 YORK LN
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City | ATHENS
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State | AL
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Zip | 35611-7022
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Country | US
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Telephone | 256-431-3422
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Fax | 713-583-7030
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Provider Business Mailing Address
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Address Line | 1405 12TH ST
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City | ATHENS
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State | AL
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Zip | 35611-4105
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Country | US
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Telephone | 256-232-2331
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Fax | 713-583-7030
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MISS FLORA L TOWNSEND
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Credential | PSY. D.
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Telephone | 256-431-3422
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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