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General NPI Number Information
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NPI Number | 1639002959
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Entity Type | Organization
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Legal Business Name | SURRY MANOR, LLC
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Dates
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Enumeration Date | 06/05/2026
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Last Update Date | 06/05/2026
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Provider Practice Location Address
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Address Line | 7 LINCOLN LN
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City | SURRY
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State | ME
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Zip | 04684-3510
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Country | US
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Telephone | 501-414-4841
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Fax |
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Provider Business Mailing Address
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Address Line | 7 LINCOLN LN
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City | SURRY
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State | ME
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Zip | 04684-3510
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Country | US
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Telephone | 501-414-4841
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Fax |
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | DENISE WHITE
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Credential |
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Telephone | 501-414-4841
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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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 | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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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 | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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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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