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General NPI Number Information
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NPI Number | 1861981052
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Entity Type | Organization
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Legal Business Name | MISSION OF HOPE OF TALLAHASSEE, INC
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Dates
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Enumeration Date | 05/03/2018
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Last Update Date | 12/12/2025
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Provider Practice Location Address
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Address Line | 1541 GLENWAY DR
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City | TALLAHASSEE
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State | FL
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Zip | 32301
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Country | US
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Telephone | 850-322-4589
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Fax | 229-236-0629
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Provider Business Mailing Address
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Address Line | 1541 GLENWAY DR
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City | TALLAHASSEE
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State | FL
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Zip | 32301
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Country | US
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Telephone | 850-322-4589
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Fax | 229-236-0629
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Authorized Official
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Title or Position | DIRECTOR
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Name | NANCY VICKERS-ADJEI
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Credential |
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Telephone | 850-322-4589
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251X00000X
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Taxonomy Name | Supports Brokerage 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 | 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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Taxonomy #3
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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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Taxonomy #4
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Taxonomy Code | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number |
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License Number State |
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Taxonomy #5
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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 #6
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State |
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