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General NPI Number Information
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NPI Number | 1821444050
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Entity Type | Organization
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Legal Business Name | ART HOME CARE, LLC
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Dates
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Enumeration Date | 05/06/2016
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Last Update Date | 08/24/2016
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Provider Practice Location Address
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Address Line | 4479 NEW JESUP HWY STE 103
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City | BRUNSWICK
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State | GA
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Zip | 31520-1693
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Country | US
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Telephone | 912-275-7114
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Fax | 912-342-7261
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Provider Business Mailing Address
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Address Line | 4479 NEW JESUP HWY STE 103
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City | BRUNSWICK
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State | GA
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Zip | 31520-1693
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Country | US
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Telephone | 912-275-7114
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Fax |
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | VELENCIA YVETTE DAVIS
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Credential | RN
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Telephone | 912-270-0734
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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 |
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License Number State |
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