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General NPI Number Information
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NPI Number | 1407958499
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Entity Type | Organization
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Legal Business Name | COURAGEOUS HOME HEALTHCARE INC.
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Dates
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Enumeration Date | 09/01/2006
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Last Update Date | 08/03/2023
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Provider Practice Location Address
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Address Line | 1667 EISENHOWER PKWY BLDG B
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City | MACON
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State | GA
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Zip | 31206-3159
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Country | US
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Telephone | 478-477-7594
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Fax | 478-477-2556
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Provider Business Mailing Address
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Address Line | 4339 HARTLEY BRIDGE RD # 314
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City | MACON
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State | GA
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Zip | 31216-5641
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Country | US
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Telephone | 478-477-7594
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Fax | 478-477-2556
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. VALORIE D MARKHAM
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Credential |
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Telephone | 478-477-7594
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 372600000X
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Taxonomy Name | Adult Companion
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License Number | 094-R-0003
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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