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General NPI Number Information
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NPI Number | 1730305806
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Entity Type | Organization
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Legal Business Name | ANOINTED ANGELS HOMECARE LLC
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Dates
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Enumeration Date | 04/17/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 405 WESTSIDE BLVD SUITE 36
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City | HOUMA
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State | LA
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Zip | 70364-2392
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Country | US
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Telephone | 985-853-8560
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Fax | 985-853-8568
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Provider Business Mailing Address
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Address Line | 405 WESTSIDE BLVD SUITE 36
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City | HOUMA
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State | LA
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Zip | 70364-2392
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Country | US
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Telephone | 985-853-8560
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Fax | 985-853-8568
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Authorized Official
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Title or Position | OWNER PROGRAM DIRECTOR
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Name | MRS. LASHONDA W BROOM
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Credential | RN
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Telephone | 985-853-8560
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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