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General NPI Number Information
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NPI Number | 1710690888
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Entity Type | Organization
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Legal Business Name | YOUR FAMILY IS FAMILY HOME HEALTHCARE SERVICES, LLC
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Dates
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Enumeration Date | 01/03/2023
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Last Update Date | 01/03/2023
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Provider Practice Location Address
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Address Line | 3640 S PLAZA TRL STE 204A
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City | VIRGINIA BEACH
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State | VA
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Zip | 23452-3363
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Country | US
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Telephone | 757-938-8126
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Fax | 757-222-8928
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Provider Business Mailing Address
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Address Line | 3640 S PLAZA TRL STE 204A
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City | VIRGINIA BEACH
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State | VA
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Zip | 23452-3363
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Country | US
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Telephone | 757-938-8126
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Fax | 757-222-8928
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | LASHAUN EDMONDS
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Credential |
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Telephone | 757-938-8126
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251X00000X
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Taxonomy Name | Supports Brokerage 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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Taxonomy #3
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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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