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General NPI Number Information
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NPI Number | 1861022139
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Entity Type | Organization
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Legal Business Name | CARING HANDS HOME-CARE AGENCY LLC
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Dates
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Enumeration Date | 01/24/2020
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Last Update Date | 01/24/2020
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Provider Practice Location Address
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Address Line | 124 UNIONVILLE INDIAN TRAIL RD W STE B6
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City | INDIAN TRAIL
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State | NC
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Zip | 28079-5621
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Country | US
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Telephone | 817-689-0231
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Fax |
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Provider Business Mailing Address
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Address Line | 2111 ABUNDANCE LN
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City | WAXHAW
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State | NC
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Zip | 28173-0352
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Country | US
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Telephone | 817-689-0231
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Fax |
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Authorized Official
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Title or Position | CEO/ADMINISTRATOR
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Name | LYNDA ROWAN FAKUNLE
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Credential |
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Telephone | 817-689-0231
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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Taxonomy #2
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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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