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General NPI Number Information
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NPI Number | 1811034044
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Entity Type | Organization
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Legal Business Name | DELIVERANCE HOME CARE, LLC
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Dates
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Enumeration Date | 01/30/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2804 RANDLEMAN RD SUITE Q
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City | GREENSBORO
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State | NC
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Zip | 27406-5263
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Country | US
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Telephone | 336-279-1144
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Fax | 336-378-1018
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Provider Business Mailing Address
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Address Line | 3816 RIVERDALE DR
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City | GREENSBORO
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State | NC
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Zip | 27406-7504
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Country | US
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Telephone | 336-279-1144
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Fax | 336-378-1018
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Authorized Official
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Title or Position | AGENCY DIRECTOR
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Name | MRS. DEBORAH JOYCE CROSBY
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Credential |
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Telephone | 336-279-1144
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | HC3203
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License Number State | NC
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