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General NPI Number Information
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NPI Number | 1447305651
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Entity Type | Organization
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Legal Business Name | ULTIMATE HOME HEALTH CARE
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Dates
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Enumeration Date | 01/25/2007
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Last Update Date | 05/04/2023
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Provider Practice Location Address
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Address Line | 3011 S MEMORIAL DR STE 6
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City | GREENVILLE
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State | NC
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Zip | 27834-6238
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Country | US
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Telephone | 252-353-8880
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Fax | 252-353-5206
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Provider Business Mailing Address
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Address Line | PO BOX 30345
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City | GREENVILLE
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State | NC
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Zip | 27833-0345
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Country | US
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Telephone | 252-353-8880
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Fax | 252-353-5206
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Authorized Official
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Title or Position | DIRECTOR
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Name | MRS. GLENDA JEAN BRYANT
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Credential |
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Telephone | 252-353-8880
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number | HC3077
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License Number State | NC
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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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