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General NPI Number Information
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NPI Number | 1821934522
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Entity Type | Organization
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Legal Business Name | ANDERSON FAMILY HOME CARE
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Dates
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Enumeration Date | 04/25/2026
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Last Update Date | 04/25/2026
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Provider Practice Location Address
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Address Line | 2604 WILDFLOWER ST
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City | MONROE
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State | LA
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Zip | 71203-5567
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Country | US
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Telephone | 318-821-7363
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Fax |
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Provider Business Mailing Address
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Address Line | 2604 WILDFLOWER ST
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City | MONROE
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State | LA
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Zip | 71203-5567
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Country | US
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Telephone | 318-821-7363
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ALEXIS ANDERSON
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Credential |
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Telephone | 318-821-7363
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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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Taxonomy #2
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Taxonomy Code | 3747A0650X
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Taxonomy Name | Attendant Care Provider
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License Number |
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License Number State |
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