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General NPI Number Information
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NPI Number | 1558498881
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Entity Type | Organization
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Legal Business Name | HEAVENLY BLESSED HOME CARE, INC
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Dates
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Enumeration Date | 02/27/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 225 N RESPESS ST
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City | WASHINGTON
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State | NC
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Zip | 27889-4914
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Country | US
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Telephone | 252-946-7130
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Fax | 252-946-8130
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Provider Business Mailing Address
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Address Line | 225 N RESPESS ST
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City | WASHINGTON
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State | NC
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Zip | 27889-4914
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Country | US
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Telephone | 252-946-7130
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Fax | 252-946-8130
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Authorized Official
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Title or Position | AGENCY DIRECTOR
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Name | MRS. NTASHU HAMILTON TUTEN
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Credential |
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Telephone | 252-946-7130
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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 | HC2816
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License Number State | NC
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