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General NPI Number Information
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NPI Number | 1841809506
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Entity Type | Organization
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Legal Business Name | PRECISE HOME CARE SOLUTIONS LLC
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Dates
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Enumeration Date | 07/29/2020
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Last Update Date | 07/29/2020
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Provider Practice Location Address
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Address Line | 811 MAIN ST STE 15
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City | COLUMBIA
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State | MS
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Zip | 39429-2711
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Country | US
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Telephone | 601-320-7122
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Fax | 769-456-5028
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Provider Business Mailing Address
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Address Line | 27 HIDDEN PT
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City | PURVIS
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State | MS
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Zip | 39475-5432
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Country | US
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Telephone | 601-320-7122
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Fax | 769-456-5028
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Authorized Official
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Title or Position | OWNER
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Name | MS. AMANDA L JACKSON
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Credential | CPR INSTRUCTOR, PCA
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Telephone | 601-320-7122
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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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