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General NPI Number Information
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NPI Number | 1467580399
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Entity Type | Organization
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Legal Business Name | SENIOR COMPANION SERVICES LLC
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Dates
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Enumeration Date | 03/01/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 212 N MULBERRY ST
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City | STATESVILLE
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State | NC
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Zip | 28677-5138
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Country | US
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Telephone | 704-402-5567
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1725
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City | STATESVILLE
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State | NC
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Zip | 28687-1725
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Country | US
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Telephone | 704-402-5567
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. JANICE MYERS
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Credential |
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Telephone | 704-402-5567
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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 | HC3030
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License Number State | NC
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