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General NPI Number Information
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NPI Number | 1699988675
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Entity Type | Organization
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Legal Business Name | CARE AT RESIDENCE SERVICES INC
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Dates
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Enumeration Date | 05/07/2007
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Last Update Date | 10/18/2023
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Provider Practice Location Address
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Address Line | 403 S MAIN ST
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City | COLUMBIA
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State | MS
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Zip | 39429-2943
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Country | US
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Telephone | 601-736-0242
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Fax | 601-731-1181
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Provider Business Mailing Address
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Address Line | 1615 RIDGEWOOD DR
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City | COLUMBIA
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State | MS
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Zip | 39429-2637
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Country | US
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Telephone | 601-736-7383
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Fax | 601-444-4720
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Authorized Official
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Title or Position | OWNER/DIRECTOR OF OPERATIONS
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Name | SHARON L JAMES
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Credential |
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Telephone | 601-736-0242
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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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 | 385H00000X
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Taxonomy Name | Respite Care
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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 | 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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