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General NPI Number Information
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NPI Number | 1689892796
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Entity Type | Organization
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Legal Business Name | TWIN CITY HOME CARE INC.
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Dates
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Enumeration Date | 04/23/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2107 HONOR ST STE A
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City | MONROE
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State | LA
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Zip | 71201-3649
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Country | US
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Telephone | 318-340-1775
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Fax | 318-340-0515
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Provider Business Mailing Address
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Address Line | 2107 HONOR ST STE A
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City | MONROE
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State | LA
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Zip | 71201-3649
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Country | US
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Telephone | 318-340-1775
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Fax | 318-340-0515
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Authorized Official
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Title or Position | OWNER
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Name | MS. BARBARA ANN DAVIS
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Credential |
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Telephone | 318-791-2878
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number | PCA12298
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License Number State | LA
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