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General NPI Number Information
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NPI Number | 1811152267
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Entity Type | Organization
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Legal Business Name | HEARTS & HANDS THAT CARE, INC.
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Dates
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Enumeration Date | 07/25/2008
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Last Update Date | 07/25/2008
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Provider Practice Location Address
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Address Line | 8340 SWALLOW LN
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City | LUSBY
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State | MD
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Zip | 20657-4310
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Country | US
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Telephone | 410-495-7831
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Fax | 410-495-7831
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Provider Business Mailing Address
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Address Line | PO BOX 1305
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City | LUSBY
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State | MD
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Zip | 20657-1305
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Country | US
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Telephone | 410-495-7831
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Fax | 410-495-7831
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Authorized Official
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Title or Position | CEO
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Name | MR. BILLY RAY WOODALL
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Credential | CNA
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Telephone | 410-495-7831
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 |
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