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General NPI Number Information
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NPI Number | 1447896097
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Entity Type | Organization
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Legal Business Name | COMPLETE CARE SERVICES 2 LLC
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Dates
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Enumeration Date | 11/19/2019
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Last Update Date | 02/18/2020
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Provider Practice Location Address
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Address Line | 1992 FLORIDA AVE SW STE A
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City | DENHAM SPRINGS
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State | LA
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Zip | 70726-4971
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Country | US
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Telephone | 225-250-9654
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Fax | 225-416-0999
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Provider Business Mailing Address
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Address Line | 1992 FLORIDA AVE SW STE A
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City | DENHAM SPRINGS
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State | LA
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Zip | 70726-4971
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Country | US
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Telephone | 225-250-9654
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Fax | 225-416-0999
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Authorized Official
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Title or Position | OWNER
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Name | MRS. DERXANN M KEYS
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Credential |
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Telephone | 225-250-9654
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #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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