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General NPI Number Information
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NPI Number | 1407567910
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Entity Type | Organization
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Legal Business Name | THRIVE HOMES INC.
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Dates
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Enumeration Date | 12/06/2022
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Last Update Date | 01/04/2023
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Provider Practice Location Address
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Address Line | 1615 TRUSLOW RD
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City | FREDERICKSBURG
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State | VA
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Zip | 22406-5009
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Country | US
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Telephone | 888-422-7945
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Fax |
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Provider Business Mailing Address
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Address Line | 1779 KIRBY PKWY STE 14808
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City | MEMPHIS
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State | TN
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Zip | 38138-3666
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Country | US
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Telephone | 888-422-7945
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ERROL HENRY
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Credential |
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Telephone | 888-422-7945
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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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