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General NPI Number Information
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NPI Number | 1841891579
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Entity Type | Organization
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Legal Business Name | HEAVENLY HANDS COMPANION & HOME CARE SERVICES LLC
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Dates
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Enumeration Date | 11/09/2020
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Last Update Date | 11/09/2020
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Provider Practice Location Address
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Address Line | 108 EAST JAMES ST
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City | DAVENPORT
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State | FL
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Zip | 33836
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Country | US
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Telephone | 863-934-6216
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Fax | 863-421-0400
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Provider Business Mailing Address
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Address Line | PO BOX 1646
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City | DAVENPORT
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State | FL
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Zip | 33836-1646
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Country | US
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Telephone | 863-934-6216
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATION
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Name | PORTIA WHITE
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Credential |
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Telephone | 863-934-6216
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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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