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General NPI Number Information
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NPI Number | 1770362691
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Entity Type | Organization
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Legal Business Name | LACY FAMILY IN HOME CARE, LLC
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Dates
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Enumeration Date | 09/28/2023
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Last Update Date | 09/28/2023
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Provider Practice Location Address
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Address Line | 499 CEDAR ST
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City | DUMAS
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State | AR
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Zip | 71639-9543
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Country | US
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Telephone | 870-377-4852
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Fax |
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Provider Business Mailing Address
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Address Line | 400 W CAPITOL AVE STE 1700499
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City | LITTLE ROCK
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State | AR
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Zip | 72201-3436
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Country | US
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Telephone | 870-377-4852
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Fax |
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Authorized Official
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Title or Position | CO-OWNER/ADMINISTRATOR/CEO
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Name | PIERCE LACY
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Credential |
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Telephone | 870-377-5725
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3747A0650X
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Taxonomy Name | Attendant Care Provider
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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