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General NPI Number Information
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NPI Number | 1720741614
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Entity Type | Organization
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Legal Business Name | YOLANDA'S CARE HOME
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Dates
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Enumeration Date | 10/18/2021
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Last Update Date | 10/18/2021
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Provider Practice Location Address
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Address Line | 2417 GARDNER LN
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City | NASHVILLE
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State | TN
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Zip | 37207-4201
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Country | US
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Telephone | 615-424-8758
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Fax | 615-649-8287
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Provider Business Mailing Address
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Address Line | PO BOX 78820
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City | NASHVILLE
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State | TN
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Zip | 37207-8820
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Country | US
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Telephone | 615-424-8758
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Fax | 615-649-8287
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Authorized Official
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Title or Position | OWNER
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Name | YOLANDA NADINE GRAY
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Credential |
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Telephone | 615-424-8758
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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