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General NPI Number Information
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NPI Number | 1467838995
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Entity Type | Organization
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Legal Business Name | SALUS HOME CARE, LLC
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Dates
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Enumeration Date | 08/06/2015
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Last Update Date | 08/06/2015
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Provider Practice Location Address
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Address Line | 13109 SHRINERS BLVD STE B
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City | BILOXI
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State | MS
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Zip | 39532-8747
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Country | US
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Telephone | 228-207-2515
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Fax | 888-704-7978
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Provider Business Mailing Address
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Address Line | 13109 SHRINERS BLVD STE B
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City | BILOXI
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State | MS
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Zip | 39532-8747
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Country | US
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Telephone | 228-207-2515
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Fax | 888-704-7978
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Authorized Official
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Title or Position | OWNER
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Name | MR. BRYAN JOSEPH BOUDREAUX SR.
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Credential |
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Telephone | 228-207-2515
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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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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