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General NPI Number Information
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NPI Number | 1821864398
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Entity Type | Organization
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Legal Business Name | TOUCHED BY AN ANGEL HOME CARE LLC
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Dates
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Enumeration Date | 11/27/2023
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Last Update Date | 11/27/2023
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Provider Practice Location Address
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Address Line | 108 EAST MAIN STREET
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City | ROWLAND
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State | NC
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Zip | 28383
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Country | US
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Telephone | 910-740-6266
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Fax |
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Provider Business Mailing Address
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Address Line | 202 FERNWOOD CIR
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City | LUMBERTON
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State | NC
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Zip | 28360-8802
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Country | US
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Telephone | 910-774-6550
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JAVORIS MONTE GORDON
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Credential |
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Telephone | 910-740-6266
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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 |
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