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General NPI Number Information
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NPI Number | 1700847241
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Entity Type | Organization
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Legal Business Name | WOODS MEMORIAL HOME HEALTH AGENCY
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Dates
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Enumeration Date | 03/31/2006
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Last Update Date | 01/22/2008
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Provider Practice Location Address
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Address Line | 886 HIGHWAY 411 N
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City | ETOWAH
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State | TN
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Zip | 37331-1912
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Country | US
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Telephone | 423-263-3628
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Fax | 423-263-3607
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Provider Business Mailing Address
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Address Line | 886 HIGHWAY 411 N
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City | ETOWAH
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State | TN
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Zip | 37331-1912
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Country | US
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Telephone | 423-263-3628
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Fax | 423-263-7573
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Authorized Official
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Title or Position | DIRECTOR
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Name | MRS. NANCY D MORRIS
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Credential |
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Telephone | 423-263-3600
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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 | 0000000168
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License Number State | TN
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