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General NPI Number Information
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NPI Number | 1750401691
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Entity Type | Organization
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Legal Business Name | MILLBROOK FAMILY CARE HOME
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Dates
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Enumeration Date | 03/31/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 94 MILLBROOK RD
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City | ASHEVILLE
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State | NC
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Zip | 28806-4617
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Country | US
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Telephone | 828-254-8021
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Fax |
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Provider Business Mailing Address
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Address Line | 94 MILLBROOK RD
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City | ASHEVILLE
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State | NC
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Zip | 28806-4617
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JULIA CALHOUN
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Credential |
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Telephone | 828-254-8021
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311Z00000X
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Taxonomy Name | Custodial Care Facility
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License Number | FCL-011-149
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License Number State | NC
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