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NPI 1821398389

NPI 1821398389 : HOME MANAGEMENT HOME MAKER SERVICES : HOLLANDALE, MS

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General NPI Number Information
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    NPI Number           |    1821398389
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    Entity Type          |    Organization 
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    Legal Business Name  |    HOME MANAGEMENT HOME MAKER SERVICES 
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Dates
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    Enumeration Date     |    10/29/2010
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    Last Update Date     |    10/29/2010
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Provider Practice Location Address
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    Address Line         |    108 E SOUTH ST 
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    City                 |    HOLLANDALE
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    State                |    MS
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    Zip                  |    38748-3834
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    Country              |    US
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    Telephone            |    662-827-2848
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    Fax                  |    662-827-5766
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Provider Business Mailing Address
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    Address Line         |    108 E SOUTH ST P.O. BOX 351
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    City                 |    HOLLANDALE
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    State                |    MS
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    Zip                  |    38748-3834
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    Country              |    US
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    Telephone            |    662-827-2848
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    Fax                  |    662-827-5766
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |    MS. SENTHAN  HARRIS 
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    Credential           |    
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    Telephone            |    662-827-2848
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    253Z00000X
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    Taxonomy Name        |    In Home Supportive Care Agency
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    License Number       |    
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    License Number State |    MS
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