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General NPI Number Information
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NPI Number | 1639154933
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Entity Type | Organization
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Legal Business Name | HEALTHY HOME & FAMILY, INC.
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Dates
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Enumeration Date | 12/08/2005
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Last Update Date | 02/17/2023
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Provider Practice Location Address
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Address Line | 210 W HARRISON ST
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City | FARMINGTON
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State | MO
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Zip | 63640-2510
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Country | US
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Telephone | 573-760-0709
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Fax | 573-760-0124
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Provider Business Mailing Address
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Address Line | 210 W HARRISON ST
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City | FARMINGTON
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State | MO
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Zip | 63640-2510
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Country | US
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Telephone | 573-760-0709
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Fax | 573-760-0124
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Authorized Official
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Title or Position | OWNER
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Name | MISS MARY ELIZABETH STOCKSON
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Credential | RN
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Telephone | 573-760-0709
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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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 | 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 #3
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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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Taxonomy #4
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Taxonomy Code | 372500000X
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Taxonomy Name | Chore Provider
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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 | 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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