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General NPI Number Information
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NPI Number | 1578426458
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Entity Type | Organization
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Legal Business Name | BEYOND CARE MANOR 'PERSONAL CARE HOME' LLC
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Dates
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Enumeration Date | 12/08/2025
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 506 WELLINGTON WAY
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City | JONESBORO
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State | GA
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Zip | 30238-4451
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Country | US
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Telephone | 470-402-0831
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Fax |
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Provider Business Mailing Address
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Address Line | 1400 JR GRANT BLVD APT 1107
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City | MCDONOUGH
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State | GA
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Zip | 30253-8408
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/OPERATER
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Name | SANTERIA A COLLIER
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Credential |
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Telephone | 470-402-0831
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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