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General NPI Number Information
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NPI Number | 1548363823
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Entity Type | Organization
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Legal Business Name | DISCOVER HOME CARE, LLC
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Dates
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Enumeration Date | 09/05/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3660 BOULEVARD SUITE E
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City | COLONIAL HEIGHTS
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State | VA
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Zip | 23834
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Country | US
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Telephone | 804-524-0296
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Fax | 804-524-0298
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Provider Business Mailing Address
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Address Line | 3660 BOULEVARD SUITE E
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City | COLONIAL HEIGHTS
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State | VA
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Zip | 23834-1345
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Country | US
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Telephone | 804-524-0296
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Fax | 804-524-0298
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Authorized Official
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Title or Position | OWNER
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Name | MRS. GRACE YANCEY
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Credential | RN
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Telephone | 804-524-0296
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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 | HCO-07328
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License Number State | VA
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