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General NPI Number Information
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NPI Number | 1619539020
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Entity Type | Organization
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Legal Business Name | CARE4ALL COMMUNITY CARE, INC.
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Dates
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Enumeration Date | 07/05/2019
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Last Update Date | 11/22/2019
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Provider Practice Location Address
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Address Line | 1174 MCKENDREE CHURCH RD STE 100
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City | LAWRENCEVILLE
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State | GA
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Zip | 30043-6000
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Country | US
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Telephone | 678-719-9677
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Fax | 888-620-3790
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Provider Business Mailing Address
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Address Line | 1174 MCKENDREE CHURCH RD STE 100
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City | LAWRENCEVILLE
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State | GA
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Zip | 30043-6000
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Country | US
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Telephone | 678-719-9677
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Fax | 888-620-3790
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Authorized Official
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Title or Position | OWNER/CFO
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Name | MR. SMART GUOBADIA
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Credential |
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Telephone | 615-397-4996
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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 | 376K00000X
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Taxonomy Name | Nurse's Aide
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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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