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General NPI Number Information
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NPI Number | 1366110215
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Entity Type | Organization
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Legal Business Name | L AND L HOME HEALTH LLC
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Dates
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Enumeration Date | 09/03/2021
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Last Update Date | 04/05/2023
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Provider Practice Location Address
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Address Line | 5306 SEDGWICK DR
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City | JACKSON
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State | MS
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Zip | 39211-4325
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Country | US
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Telephone | 601-502-5185
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 12632
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City | JACKSON
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State | MS
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Zip | 39236-2632
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Country | US
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Telephone | 866-218-5195
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Fax | 601-898-6188
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Authorized Official
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Title or Position | OWNER
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Name | VALENCIA ROBINSON
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Credential |
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Telephone | 601-502-5185
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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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Taxonomy #2
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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