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General NPI Number Information
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NPI Number | 1790640852
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Entity Type | Organization
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Legal Business Name | FOREVER LOVING HANDS, INC
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Dates
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Enumeration Date | 12/22/2025
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Last Update Date | 12/22/2025
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Provider Practice Location Address
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Address Line | 1903 PLOVER AVE APT A
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City | FORT PIERCE
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State | FL
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Zip | 34949-3446
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Country | US
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Telephone | 772-940-3736
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Fax | 772-264-7695
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Provider Business Mailing Address
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Address Line | 1903 PLOVER AVE APT A
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City | FORT PIERCE
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State | FL
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Zip | 34949-3446
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Country | US
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Telephone | 772-940-3736
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Fax | 772-264-7695
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Authorized Official
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Title or Position | OWNER
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Name | CORLISS Y PHILLIPS
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Credential | LPN
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Telephone | 772-940-3736
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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