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General NPI Number Information
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NPI Number | 1740522135
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Entity Type | Organization
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Legal Business Name | HARMONY COURT ASSISTED LIVING HOME INC
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Dates
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Enumeration Date | 03/23/2013
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Last Update Date | 03/23/2013
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Provider Practice Location Address
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Address Line | 5411 I 55 N
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City | JACKSON
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State | MS
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Zip | 39206-3616
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Country | US
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Telephone | 769-216-3841
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Fax |
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Provider Business Mailing Address
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Address Line | 5411 I 55 N
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City | JACKSON
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State | MS
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Zip | 39206-3616
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Country | US
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Telephone | 769-216-3841
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | KEVIN TAFT WRIGHT
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Credential |
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Telephone | 601-940-4195
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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 | 1073
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License Number State | MS
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