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General NPI Number Information
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NPI Number | 1588370977
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Entity Type | Organization
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Legal Business Name | DEVINELY DEES HOME CARE SERVICES LLC
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Dates
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Enumeration Date | 01/27/2023
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Last Update Date | 01/27/2023
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Provider Practice Location Address
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Address Line | 11584 PEACOCK DR
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City | INDIANAPOLIS
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State | IN
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Zip | 46236-2929
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Country | US
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Telephone | 317-457-7447
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Fax | 765-388-9682
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Provider Business Mailing Address
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Address Line | 11584 PEACOCK DR
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City | INDIANAPOLIS
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State | IN
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Zip | 46236-2929
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Country | US
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Telephone | 317-457-7447
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Fax | 765-388-9682
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Authorized Official
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Title or Position | OWNER/ CEO
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Name | DEVONNE THRASH-HOLMES
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Credential |
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Telephone | 317-457-7447
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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