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General NPI Number Information
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NPI Number | 1558985754
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Entity Type | Organization
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Legal Business Name | PEOPLES HOUSE ATL 1 LLC
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Dates
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Enumeration Date | 06/03/2020
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Last Update Date | 06/03/2020
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Provider Practice Location Address
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Address Line | 707 PARK AVE NE APT 1380
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City | ATLANTA
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State | GA
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Zip | 30326-3410
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Country | US
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Telephone | 314-665-5206
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Fax |
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Provider Business Mailing Address
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Address Line | 707 PARK AVE NE APT 1380
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City | ATLANTA
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State | GA
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Zip | 30326-3410
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Country | US
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Telephone | 314-665-5206
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | TRACY PEOPLES
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Credential |
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Telephone | 314-665-5206
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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 | 251J00000X
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Taxonomy Name | Nursing 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 | 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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Taxonomy #4
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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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Taxonomy #5
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Taxonomy Code | 3104A0625X
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Taxonomy Name | Assisted Living Facility (Mental Illness)
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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 | 385H00000X
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Taxonomy Name | Respite Care
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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 | 385HR2060X
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Taxonomy Name | Child Intellectual and/or Developmental Disabilities Respite Care
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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 | 320700000X
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Taxonomy Name | Physical Disabilities Residential Treatment Facility
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License Number |
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License Number State |
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