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General NPI Number Information
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NPI Number | 1720532674
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Entity Type | Organization
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Legal Business Name | REGIONAL HOME CARE, INC.
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Dates
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Enumeration Date | 08/09/2016
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Last Update Date | 09/30/2016
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Provider Practice Location Address
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Address Line | 1014 HOMELAND AVE SUITE 105
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City | GREENSBORO
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State | NC
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Zip | 27405-7014
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Country | US
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Telephone | 336-335-9507
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Fax |
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Provider Business Mailing Address
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Address Line | 1014 HOMELAND AVE SUITE 105
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City | GREENSBORO
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State | NC
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Zip | 27405-7014
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Country | US
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Telephone | 336-335-9507
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MARIE KELECHI ANYOGU
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Credential |
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Telephone | 336-335-9507
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | HC4263
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License Number State | NC
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