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General NPI Number Information
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NPI Number | 1396615563
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Entity Type | Organization
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Legal Business Name | IN GREAT CARE LLC
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Dates
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Enumeration Date | 11/11/2025
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Last Update Date | 11/11/2025
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Provider Practice Location Address
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Address Line | 4902 RIVER PL
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City | FORT PIERCE
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State | FL
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Zip | 34982-4110
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Country | US
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Telephone | 772-252-1992
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Fax |
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Provider Business Mailing Address
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Address Line | 12151 OSCEOLA RD
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City | NORTH PALM BEACH
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State | FL
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Zip | 33408-2653
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Country | US
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Telephone | 561-373-9005
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SHAVON R RAHMING
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Credential |
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Telephone | 561-373-9005
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State |
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