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General NPI Number Information
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NPI Number | 1457094922
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Entity Type | Organization
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Legal Business Name | ALL HEARTS HOMECARE SERVICES, LLC
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Dates
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Enumeration Date | 04/13/2022
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Last Update Date | 04/13/2022
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Provider Practice Location Address
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Address Line | 210 N FRONT ST
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City | MCCOMB
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State | MS
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Zip | 39648-3916
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Country | US
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Telephone | 769-217-8760
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 7070
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City | MCCOMB
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State | MS
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Zip | 39649-7070
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Country | US
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Telephone | 769-217-8760
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LATASHA SIBLEY
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Credential |
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Telephone | 504-952-2937
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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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