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General NPI Number Information
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NPI Number | 1366767386
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Entity Type | Organization
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Legal Business Name | PHYSICIANS HOME CARE SERVICES, LLC
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Dates
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Enumeration Date | 04/01/2010
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Last Update Date | 04/01/2010
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Provider Practice Location Address
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Address Line | 6659 SULLIVAN RD
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City | GREENWELL SPRINGS
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State | LA
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Zip | 70739-3112
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Country | US
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Telephone | 225-261-0160
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Fax | 225-775-9800
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Provider Business Mailing Address
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Address Line | 6659 SULLIVAN RD
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City | GREENWELL SPRINGS
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State | LA
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Zip | 70739-3112
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Country | US
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Telephone | 225-261-0160
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Fax | 225-775-9800
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Authorized Official
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Title or Position | CEO
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Name | MRS. ANNETTE AUSTIN
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Credential |
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Telephone | 225-261-0160
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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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