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General NPI Number Information
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NPI Number | 1699267815
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Entity Type | Organization
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Legal Business Name | FRIENDLYCARE COMPANION LLC
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Dates
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Enumeration Date | 06/04/2018
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Last Update Date | 10/09/2024
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Provider Practice Location Address
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Address Line | 3711 EXECUTIVE CENTER DR STE 202-2
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City | MARTINEZ
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State | GA
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Zip | 30907-0951
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Country | US
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Telephone | 706-901-4899
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Fax | 678-224-6964
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Provider Business Mailing Address
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Address Line | PO BOX 832
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City | GROVETOWN
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State | GA
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Zip | 30813-0832
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Country | US
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Telephone | 706-294-1127
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Fax | 678-224-6964
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | CYNTHIA SAVAGE JONES
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Credential |
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Telephone | 706-901-4899
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing 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 | 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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