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General NPI Number Information
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NPI Number | 1740247709
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Entity Type | Organization
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Legal Business Name | SKILLS HOME HEALTHCARE INC
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Dates
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Enumeration Date | 04/26/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 9405 INTERLINE
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City | BATON ROUGE
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State | LA
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Zip | 70809
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Country | US
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Telephone | 225-201-8913
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Fax | 225-201-8917
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Provider Business Mailing Address
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Address Line | 9405 INTERLINE
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City | BATON ROUGE
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State | LA
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Zip | 70809
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Country | US
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Telephone | 225-201-8913
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Fax | 225-201-8917
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Authorized Official
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Title or Position | MANAGER
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Name | MR. RAY W BANKER JR.
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Credential | RN
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Telephone | 225-201-8913
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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 | 503
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License Number State | LA
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