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General NPI Number Information
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NPI Number | 1659379188
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Entity Type | Organization
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Legal Business Name | TRUCARE HOME HEALTH, LLC
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Dates
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Enumeration Date | 07/08/2005
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Last Update Date | 02/21/2023
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Provider Practice Location Address
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Address Line | 3300 FORSYTHE AVE STE A
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City | MONROE
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State | LA
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Zip | 71201-3186
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Country | US
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Telephone | 318-281-8627
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Fax | 318-281-5190
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Provider Business Mailing Address
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Address Line | 1523 TEXAS AVE
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City | BASTROP
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State | LA
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Zip | 71220-4043
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Country | US
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Telephone | 318-281-0000
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Fax | 318-281-2753
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | MR. GOODWIN GLADNEY
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Credential |
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Telephone | 318-281-0000
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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 | 1059
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License Number State | LA
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