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General NPI Number Information
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NPI Number | 1437878956
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Entity Type | Organization
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Legal Business Name | M&A HOME CARE, LLC
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Dates
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Enumeration Date | 08/26/2022
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Last Update Date | 06/17/2024
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Provider Practice Location Address
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Address Line | 124 S MAIN ST STE 206
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City | JONESBORO
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State | GA
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Zip | 30236-3599
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Country | US
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Telephone | 404-207-6268
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Fax |
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Provider Business Mailing Address
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Address Line | 124 S MAIN ST STE 206
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City | JONESBORO
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State | GA
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Zip | 30236-3599
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Country | US
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Telephone | 404-207-6268
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. MONIQUE HENDERSON
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Credential |
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Telephone | 404-207-6268
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #3
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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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