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General NPI Number Information
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NPI Number | 1417357641
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Entity Type | Organization
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Legal Business Name | HANDS OF TIME HOME CARE, INC.
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Dates
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Enumeration Date | 08/25/2014
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Last Update Date | 08/25/2014
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Provider Practice Location Address
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Address Line | 8295 TOURNAMENT DR STE 150
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City | MEMPHIS
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State | TN
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Zip | 38125-8900
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Country | US
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Telephone | 901-371-7233
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Fax |
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Provider Business Mailing Address
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Address Line | 5446 HIGHTOR LN
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City | MEMPHIS
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State | TN
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Zip | 38125-4412
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Country | US
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Telephone | 901-371-7233
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JEWEL YVONNE ARNOLD
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Credential |
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Telephone | 901-489-0979
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | I000000015115
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License Number State | TN
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