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NPI 1578998647

NPI 1578998647 : KRM CARE SOLUTIONS, INC. : BELLA VISTA, AR

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General NPI Number Information
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    NPI Number           |    1578998647
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    Entity Type          |    Organization 
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    Legal Business Name  |    KRM CARE SOLUTIONS, INC. 
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Dates
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    Enumeration Date     |    09/09/2013
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    Last Update Date     |    09/09/2013
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Provider Practice Location Address
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    Address Line         |    3190 BELLA VISTA WAY 
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    City                 |    BELLA VISTA
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    State                |    AR
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    Zip                  |    72714-5733
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    Country              |    US
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    Telephone            |    479-855-6000
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    Fax                  |    479-855-4041
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Provider Business Mailing Address
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    Address Line         |    3190 BELLA VISTA WAY 
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    City                 |    BELLA VISTA
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    State                |    AR
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    Zip                  |    72714-5733
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    Country              |    US
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    Telephone            |    479-855-6000
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    Fax                  |    479-855-4041
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Authorized Official
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    Title or Position    |    DIRECTOR / OWNER
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    Name                 |     REBECCA  MCCARTHY 
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    Credential           |    
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    Telephone            |    479-855-6000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    347C00000X
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    Taxonomy Name        |    Private Vehicle
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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        |    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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