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General NPI Number Information
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NPI Number | 1790015824
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Entity Type | Organization
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Legal Business Name | LE'FEVRE PERSONAL CARE HOMES, INC.
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Dates
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Enumeration Date | 01/12/2010
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Last Update Date | 01/12/2010
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Provider Practice Location Address
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Address Line | 1175 OLD HARRIS RD APT. 1013
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City | DALLAS
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State | GA
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Zip | 30157-8253
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Country | US
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Telephone | 770-556-5500
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Fax | 770-556-5500
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Provider Business Mailing Address
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Address Line | 5200 DALLAS HWY STE. 200-210
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City | POWDER SPRINGS
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State | GA
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Zip | 30127-6318
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Country | US
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Telephone | 770-556-5500
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Fax | 770-556-5500
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Authorized Official
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Title or Position | DIRECTOR
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Name | MRS. NATASHA L HINSON
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Credential |
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Telephone | 770-556-5500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State | GA
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