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General NPI Number Information
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NPI Number | 1689877854
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Entity Type | Organization
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Legal Business Name | HIGHLANDS HOME CARE, INC.
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Dates
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Enumeration Date | 06/06/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 188 COLLINS CIRCLE DRIVE
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City | PRESTONSBURG
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State | KY
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Zip | 41653-7913
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Country | US
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Telephone | 606-889-9967
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Fax | 606-886-7633
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Provider Business Mailing Address
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Address Line | 188 COLLINS CIR P O BOX 757
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City | PRESTONSBURG
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State | KY
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Zip | 41653-7913
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Country | US
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Telephone | 606-889-9967
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Fax | 606-886-7633
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | MS. SHARON A BRANHAM
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Credential | RN
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Telephone | 606-889-9967
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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 | 150178
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License Number State | KY
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