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General NPI Number Information
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NPI Number | 1598352882
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Entity Type | Organization
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Legal Business Name | AN ANGEL'S TOUCH PERSONAL CARE SOLUT AND HOSPICE SERVICES, LLC
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Dates
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Enumeration Date | 12/21/2020
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Last Update Date | 12/09/2021
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Provider Practice Location Address
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Address Line | 2166 W PARK PLACE BLVD
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City | STONE MOUNTAIN
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State | GA
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Zip | 30087
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Country | US
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Telephone | 470-651-0956
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Fax |
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Provider Business Mailing Address
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Address Line | 2166 W PARK PLACE BLVD
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City | STONE MOUNTAIN
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State | GA
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Zip | 30087
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Country | US
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Telephone | 470-651-0956
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SHALUNDA HARRISON
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Credential |
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Telephone | 470-651-0956
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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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 | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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Taxonomy #4
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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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