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General NPI Number Information
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NPI Number | 1801340252
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Entity Type | Organization
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Legal Business Name | HOSPITALITY HOME CARE, INC
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Dates
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Enumeration Date | 08/14/2016
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Last Update Date | 01/23/2017
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Provider Practice Location Address
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Address Line | 508 NATIONAL HIGHWAY #320
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City | THOMASVILLE
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State | NC
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Zip | 27360
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Country | US
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Telephone | 336-313-3088
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Fax | 866-505-8970
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Provider Business Mailing Address
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Address Line | 508 NATIONAL HIGHWAY #320
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City | THOMASVILLE
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State | NC
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Zip | 27360
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Country | US
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Telephone | 336-313-3088
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Fax | 866-505-8970
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | MS. JACQUELINE M JACKSON
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Credential |
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Telephone | 336-313-3088
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | HC4848
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | HC4848
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License Number State | NC
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