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General NPI Number Information
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NPI Number | 1538824149
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Entity Type | Organization
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Legal Business Name | RUBY TOUCH HOMECARE LLC
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Dates
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Enumeration Date | 11/08/2021
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Last Update Date | 11/08/2021
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Provider Practice Location Address
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Address Line | 10900 EAST TAYLOR ROAD BUILDING K- APT.294
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City | GULFPORT
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State | MS
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Zip | 39503
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Country | US
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Telephone | 228-265-1805
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Fax |
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Provider Business Mailing Address
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Address Line | 10900 EAST TAYLOR RD BUILDING K-APT. 294
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City | GULFPORT
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State | MS
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Zip | 39503
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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 | CEO
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Name | MS. RACHELL WILSON
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Credential |
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Telephone | 504-512-4133
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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 |
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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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