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General NPI Number Information
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NPI Number | 1609100171
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Entity Type | Organization
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Legal Business Name | FLOYD HOME CARE, INC.
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Dates
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Enumeration Date | 09/30/2009
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Last Update Date | 09/30/2009
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Provider Practice Location Address
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Address Line | 116 WAYNE ST
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City | ROCKY MOUNT
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State | NC
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Zip | 27804-3752
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Country | US
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Telephone | 252-937-7946
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Fax |
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Provider Business Mailing Address
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Address Line | 5054 COUNTRY LN
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City | ROCKY MOUNT
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State | NC
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Zip | 27803-8322
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Country | US
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Telephone | 252-885-2984
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | MRS. MELVA LASHAUN ANDREWS-FLOYD
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Credential | R.N.
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Telephone | 252-937-7946
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number | MHL064106
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License Number State | NC
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