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NPI 1376596858

NPI 1376596858 : HEALING HANDS HOME HEALTH, INC. : DONALDSONVILLE, LA

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General NPI Number Information
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    NPI Number           |    1376596858
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    Entity Type          |    Organization 
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    Legal Business Name  |    HEALING HANDS HOME HEALTH, INC. 
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Dates
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    Enumeration Date     |    05/18/2006
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    Last Update Date     |    08/22/2020
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Provider Practice Location Address
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    Address Line         |    3542 HIGHWAY 1 S 
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    City                 |    DONALDSONVILLE
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    State                |    LA
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    Zip                  |    70346-9701
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    Country              |    US
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    Telephone            |    225-473-0600
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    Fax                  |    225-473-8777
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Provider Business Mailing Address
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    Address Line         |    952 ONEAL LN 
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    City                 |    BATON ROUGE
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    State                |    LA
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    Zip                  |    70816-1807
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    Country              |    US
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    Telephone            |    225-275-4325
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    Fax                  |    225-272-8198
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Authorized Official
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    Title or Position    |    CHIEF EXECUTIVE OFFICER
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    Name                 |     BASIL F. WALDRON 
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    Credential           |    
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    Telephone            |    225-275-4325
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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       |    HH0001386
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    License Number State |    LA
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