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General NPI Number Information
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NPI Number | 1689339020
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Entity Type | Organization
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Legal Business Name | MERRIGOOD HOME CARE LLC
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Dates
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Enumeration Date | 11/01/2021
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Last Update Date | 01/03/2025
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Provider Practice Location Address
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Address Line | 913 HAWTHORN LN
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City | MANSFIELD
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State | TX
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Zip | 76063-6648
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Country | US
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Telephone | 817-533-9693
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Fax | 817-984-3808
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Provider Business Mailing Address
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Address Line | 913 HAWTHORN LN
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City | MANSFIELD
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State | TX
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Zip | 76063-6648
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Country | US
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Telephone | 817-533-9693
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Fax | 817-984-3808
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Authorized Official
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Title or Position | OWNER
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Name | FOLAKE F JOHNSON
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Credential |
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Telephone | 682-597-1362
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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Taxonomy Code | 3747A0650X
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Taxonomy Name | Attendant Care Provider
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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 | 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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