{
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"EIN": null,
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"IsOrgSubpart": "N",
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"OrgName": "ELIZABETH CARE SERVICES, LLC",
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"NamePrefix": null,
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"FirstLineMailingAddress": "P.O. BOX 22800",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "NASHVILLE",
"MailingAddressStateName": "TN",
"MailingAddressPostalCode": "37202",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "615-942-9167",
"MailingAddressFaxNumber": "615-242-1315",
"FirstLinePracticeLocationAddress": "1326 ROSE L. PARKS BLVD.",
"SecondLinePracticeLocationAddress": "SUITE B",
"PracticeLocationAddressCityName": "NASHVILLE",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "615-942-9167",
"PracticeLocationAddressFaxNumber": "615-242-1315",
"EnumerationDate": "10/21/2010",
"LastUpdateDate": "10/21/2010",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "IWORAH",
"AuthorizedOfficialFirstName": "CAROLINE",
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"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "REGISTERED NURSE",
"AuthorizedOfficialTelephoneNumber": "615-942-9167",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "320600000X",
"TaxonomyName": "Intellectual and/or Developmental Disabilities Residential Treatment Facility",
"LicenseNumber": "1000000005784",
"LicenseNumberStateCode": "TN",
"PrimaryTaxonomySwitch": "Y"
}
},
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}
}