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General NPI Number Information
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NPI Number | 1386018489
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Entity Type | Organization
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Legal Business Name | JUMPING LILIES HOME CARE, LLC
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Dates
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Enumeration Date | 11/30/2015
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 8700 STONEBROOK PKWY UNIT 2741
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City | FRISCO
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State | TX
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Zip | 75034-6199
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Country | US
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Telephone | 214-267-8816
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Fax |
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Provider Business Mailing Address
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Address Line | 8700 STONEBROOK PKWY UNIT 2741
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City | FRISCO
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State | TX
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Zip | 75034-6199
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Country | US
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Telephone | 214-267-8816
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | KIMMY WHITE
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Credential | RN BSN
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Telephone | 214-493-3614
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311Z00000X
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Taxonomy Name | Custodial Care Facility
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License Number |
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License Number State | TX
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