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General NPI Number Information
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NPI Number | 1538049531
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Entity Type | Organization
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Legal Business Name | SENESSA HOME CARE AGENCY LLC
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Dates
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Enumeration Date | 09/03/2025
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Last Update Date | 09/03/2025
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Provider Practice Location Address
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Address Line | 1698 HIGH FALLS LN
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City | GRAYSON
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State | GA
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Zip | 30017-2402
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Country | US
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Telephone | 404-445-1437
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Fax | 404-793-6092
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Provider Business Mailing Address
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Address Line | 1698 HIGH FALLS LN
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City | GRAYSON
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State | GA
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Zip | 30017-2402
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | HANNESA ASANTE ADANE
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Credential |
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Telephone | 404-445-1437
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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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 | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number |
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License Number State |
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