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General NPI Number Information
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NPI Number | 1568121937
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Entity Type | Organization
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Legal Business Name | CARDINAL IN HOME CARE, LLC
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Dates
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Enumeration Date | 12/14/2021
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Last Update Date | 12/14/2021
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Provider Practice Location Address
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Address Line | 81 POINTE CIR STE D-10
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City | GREENVILLE
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State | SC
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Zip | 29615-3505
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Country | US
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Telephone | 864-724-9111
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Fax |
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Provider Business Mailing Address
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Address Line | 325 ROCKY SLOPE RD SUITE 104 #255
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City | GREENVILLE
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State | SC
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Zip | 29607
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Country | US
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Telephone | 864-724-9111
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | CORNELIUS JERRELL MORRISON
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Credential |
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Telephone | 864-437-1346
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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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