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General NPI Number Information
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NPI Number | 1598469512
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Entity Type | Organization
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Legal Business Name | COBB'S ENTERPRISE HOME CARE LLC
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Dates
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Enumeration Date | 03/27/2023
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Last Update Date | 04/07/2023
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Provider Practice Location Address
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Address Line | 1341 NEW HILL RD
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City | HOLLY SPRINGS
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State | NC
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Zip | 27540-6102
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Country | US
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Telephone | 984-204-4000
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Fax | 984-204-4000
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Provider Business Mailing Address
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Address Line | PO BOX 574
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City | HOLLY SPRINGS
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State | NC
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Zip | 27540-0574
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Country | US
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Telephone | 984-204-0400
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Fax |
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Authorized Official
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Title or Position | AGENCY DIRECTOR
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Name | MRS. SHELISHA COBB
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Credential |
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Telephone | 984-204-0400
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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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 | 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 #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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