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General NPI Number Information
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NPI Number | 1730763301
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Entity Type | Organization
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Legal Business Name | SOUTHERN CARING HANDS HOME HEALTH SERVICES LLC
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Dates
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Enumeration Date | 05/10/2021
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Last Update Date | 07/23/2021
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Provider Practice Location Address
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Address Line | 200 N ARCHUSA AVE
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City | QUITMAN
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State | MS
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Zip | 39355-2417
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Country | US
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Telephone | 601-557-5041
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Fax | 601-557-5043
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Provider Business Mailing Address
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Address Line | 200 N ARCHUSA AVE
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City | QUITMAN
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State | MS
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Zip | 39355-2417
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Country | US
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Telephone | 601-557-5041
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KATINA MICHELLE ROBERTS
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Credential |
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Telephone | 601-616-8169
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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 |
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License Number State |
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