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General NPI Number Information
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NPI Number | 1457161747
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Entity Type | Organization
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Legal Business Name | A & M HOMECARE LA LLC
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Dates
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Enumeration Date | 01/09/2025
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Last Update Date | 01/09/2025
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Provider Practice Location Address
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Address Line | 203 E ACADEMY AVE STE B
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City | JENNINGS
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State | LA
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Zip | 70546-5331
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Country | US
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Telephone | 337-385-9926
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Fax | 337-205-0270
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Provider Business Mailing Address
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Address Line | 203 E ACADEMY AVE STE B
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City | JENNINGS
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State | LA
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Zip | 70546-5331
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Country | US
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Telephone | 337-385-9926
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Fax | 337-205-0270
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | KRISTEN W HOLLIER
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Credential | LPN
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Telephone | 337-385-9926
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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 |
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