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General NPI Number Information
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NPI Number | 1841730181
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Entity Type | Organization
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Legal Business Name | SOUTHERN CARE CONNECTION, LLC
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Dates
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Enumeration Date | 03/06/2017
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Last Update Date | 06/24/2020
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Provider Practice Location Address
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Address Line | 1101 W AIRLINE HWY, SUITE J
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City | LAPLACE
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State | LA
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Zip | 70068
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Country | US
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Telephone | 985-652-1847
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Fax | 985-652-1897
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Provider Business Mailing Address
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Address Line | 4512 BURKE DR.
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City | METAIRIE
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State | LA
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Zip | 70003
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Country | US
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Telephone | 985-652-1847
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Fax | 985-652-1897
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | RACHEL MAYEAUX
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Credential |
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Telephone | 985-652-1847
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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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