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General NPI Number Information
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NPI Number | 1841117363
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Entity Type | Organization
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Legal Business Name | WHOLE COMMUNITY CARE SOLUTIONS, LLC
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Dates
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Enumeration Date | 07/06/2026
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Last Update Date | 07/06/2026
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Provider Practice Location Address
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Address Line | 155 WESTRIDGE PKWY STE 225
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City | MCDONOUGH
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State | GA
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Zip | 30253-3052
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Country | US
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Telephone | 470-278-1531
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Fax |
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Provider Business Mailing Address
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Address Line | 155 WESTRIDGE PKWY STE 225
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City | MCDONOUGH
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State | GA
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Zip | 30253-3052
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Country | US
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Telephone | 470-278-1531
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Fax |
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Authorized Official
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Title or Position | FOUNDER/CEO/ADMINISTRATOR
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Name | SHONTEL WATTERS
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Credential | MSN,RN
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Telephone | 470-278-1531
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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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