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NPI 1730623166

NPI 1730623166 : RIGHT CHOICE HOME CARE : STONE MOUNTAIN, GA

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General NPI Number Information
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    NPI Number           |    1730623166
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    Entity Type          |    Organization 
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    Legal Business Name  |    RIGHT CHOICE HOME CARE 
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Dates
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    Enumeration Date     |    12/03/2016
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    Last Update Date     |    12/03/2016
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Provider Practice Location Address
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    Address Line         |    6871 ROCKBRIDGE RD 
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    City                 |    STONE MOUNTAIN
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    State                |    GA
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    Zip                  |    30087-4814
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    Country              |    US
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    Telephone            |    470-268-4271
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    6871 ROCKBRIDGE RD 
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    City                 |    STONE MOUNTAIN
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    State                |    GA
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    Zip                  |    30087-4814
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    Country              |    US
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    Telephone            |    470-268-4271
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER/ADMINISTRATOR
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    Name                 |    MRS. LATOSHA  FRADIEU 
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    Credential           |    
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    Telephone            |    404-468-6245
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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       |    241746
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    License Number State |    GA
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