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General NPI Number Information
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NPI Number | 1841012929
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Entity Type | Organization
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Legal Business Name | FLOWERS HOME CARE LLC
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Dates
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Enumeration Date | 10/29/2024
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Last Update Date | 10/29/2024
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Provider Practice Location Address
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Address Line | 12349 VETERANS MEMORIAL HWY STE A
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City | DOUGLASVILLE
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State | GA
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Zip | 30134-2017
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Country | US
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Telephone | 404-444-2614
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Fax |
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Provider Business Mailing Address
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Address Line | 5 BROOKVALLEY CT E STE A
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City | DALLAS
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State | GA
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Zip | 30157-1615
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Country | US
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Telephone | 404-444-2614
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DEJA DUNSCOMB
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Credential |
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Telephone | 404-444-2614
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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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