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General NPI Number Information
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NPI Number | 1457308124
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Entity Type | Organization
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Legal Business Name | HOMECHOICE HEALTH SERVICES, INC.
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Dates
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Enumeration Date | 05/28/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2606 CORPORATE AVE E SUITE 201
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City | MEMPHIS
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State | TN
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Zip | 38132-1708
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Country | US
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Telephone | 901-380-4404
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Fax | 901-380-1340
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Provider Business Mailing Address
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Address Line | 2606 CORPORATE AVE E SUITE 201
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City | MEMPHIS
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State | TN
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Zip | 38132-1708
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Country | US
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Telephone | 901-380-4404
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Fax | 901-380-1340
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Authorized Official
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Title or Position | PRESIDENT
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Name | MICHAEL G GLENN
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Credential |
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Telephone | 901-380-4404
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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 | 7686
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License Number State | MS
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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 | 00000240
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License Number State | TN
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