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General NPI Number Information
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NPI Number | 1427573054
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Entity Type | Organization
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Legal Business Name | HERITAGEFIRST HOME CARE INC.
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Dates
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Enumeration Date | 08/04/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1277 TWIN PINE ROAD
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City | MILLEDGEVILLE
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State | GA
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Zip | 31061
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Country | US
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Telephone | 478-234-0070
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Fax |
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Provider Business Mailing Address
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Address Line | 1277 TWIN PINE RD
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City | MILLEDGEVILLE
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State | GA
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Zip | 31061-4231
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Country | US
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Telephone | 478-234-0070
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JOSHUA BERNARD FLOURNOY
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Credential |
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Telephone | 478-234-0070
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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 |
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License Number State | GA
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