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General NPI Number Information
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NPI Number | 1538887732
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Entity Type | Organization
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Legal Business Name | HEAVENLY ARMS HOME CARE SERVICES LLC
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Dates
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Enumeration Date | 08/15/2022
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Last Update Date | 08/15/2022
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Provider Practice Location Address
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Address Line | 3034 SIDNEY CT
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City | MACON
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State | GA
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Zip | 31217-5284
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Country | US
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Telephone | 478-714-7864
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Fax | 478-259-1079
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Provider Business Mailing Address
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Address Line | 3034 SIDNEY CT
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City | MACON
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State | GA
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Zip | 31217-5284
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Country | US
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Telephone | 478-259-7850
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Fax | 478-259-1079
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Authorized Official
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Title or Position | OWNEEEEEER
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Name | MAXINE J BAILEY
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Credential |
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Telephone | 478-259-7850
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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 | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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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 | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QG0250X
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Taxonomy Name | Genetics Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QV0200X
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Taxonomy Name | VA Clinic/Center
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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