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General NPI Number Information
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NPI Number | 1689170136
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Entity Type | Organization
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Legal Business Name | GREATER LIVING CARE CENTER
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Dates
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Enumeration Date | 04/03/2018
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Last Update Date | 04/03/2018
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Provider Practice Location Address
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Address Line | 395 E 22ND ST
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City | RESERVE
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State | LA
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Zip | 70084-5210
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Country | US
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Telephone | 504-307-4039
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Fax |
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Provider Business Mailing Address
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Address Line | 395 E 22ND ST
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City | RESERVE
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State | LA
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Zip | 70084-5210
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Country | US
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Telephone | 504-307-4039
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | GERNIKA L ROBINSON
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Credential | LPN
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Telephone | 504-307-4039
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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 |
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License Number State |
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