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General NPI Number Information
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NPI Number | 1518159847
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Entity Type | Organization
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Legal Business Name | HOLMES FAMILY CARE HOME
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Dates
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Enumeration Date | 08/10/2007
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Last Update Date | 08/10/2007
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Provider Practice Location Address
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Address Line | 28 CREST AVE
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City | ASHEVILLE
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State | NC
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Zip | 28803-1620
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Country | US
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Telephone | 828-274-1374
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Fax | 828-274-8666
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Provider Business Mailing Address
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Address Line | 28 CREST AVE
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City | ASHEVILLE
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State | NC
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Zip | 28803-1620
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Country | US
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Telephone | 828-274-1374
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Fax | 828-274-8666
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Authorized Official
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Title or Position | ADMINISTRATOR/OWNER
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Name | DEBORA HOLMES-YOUNG
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Credential |
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Telephone | 828-274-1374
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number | FCL0110117
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License Number State | NC
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