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NPI 1770454993

NPI 1770454993 : HIGH COTTON HOMES, LLC : ABBEVILLE, GA

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General NPI Number Information
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    NPI Number           |    1770454993
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    Entity Type          |    Organization 
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    Legal Business Name  |    HIGH COTTON HOMES, LLC 
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Dates
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    Enumeration Date     |    09/12/2025
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    Last Update Date     |    09/12/2025
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Provider Practice Location Address
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    Address Line         |    124 AIRPORT RD 
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    City                 |    ABBEVILLE
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    State                |    GA
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    Zip                  |    31001-4435
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    Country              |    US
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    Telephone            |    229-467-2101
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    124 AIRPORT RD 
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    City                 |    ABBEVILLE
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    State                |    GA
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    Zip                  |    31001-4435
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    Country              |    US
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    Telephone            |    229-467-2101
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     CARSON WEBB BROOKS 
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    Credential           |    
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    Telephone            |    229-322-9683
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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       |    
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    License Number State |    
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