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General NPI Number Information
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NPI Number | 1578501342
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Entity Type | Organization
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Legal Business Name | FAMILY HOME CARE, INC
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Dates
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Enumeration Date | 06/03/2006
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Last Update Date | 12/15/2011
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Provider Practice Location Address
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Address Line | 7161 LEE HIGHWAY SUITE 500
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City | CHATTANOOGA
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State | TN
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Zip | 37421-8605
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Country | US
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Telephone | 423-899-9166
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Fax | 423-899-9683
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Provider Business Mailing Address
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Address Line | 7161 LEE HIGHWAY SUITE 500
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City | CHATTANOOGA
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State | TN
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Zip | 37421-9605
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Country | US
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Telephone | 423-899-9166
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Fax | 423-899-9683
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Authorized Official
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Title or Position | DIRECTOR, BUSINESS OFFICE SUPPORT
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Name | MS. LAURIE HOLTSFORD
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Credential |
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Telephone | 615-465-7466
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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 | 0000000107
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License Number State | TN
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