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General NPI Number Information
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NPI Number | 1871049320
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Entity Type | Organization
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Legal Business Name | CARE FORLIFE INC
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Dates
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Enumeration Date | 08/25/2016
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Last Update Date | 08/25/2016
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Provider Practice Location Address
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Address Line | 1064 GARDNER RD SUITE 316
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City | CHARLESTON
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State | SC
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Zip | 29407-5768
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Country | US
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Telephone | 843-852-9090
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Fax | 843-852-0500
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Provider Business Mailing Address
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Address Line | 1064 GARDNER RD SUITE 316
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City | CHARLESTON
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State | SC
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Zip | 29407-5768
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Country | US
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Telephone | 843-852-9090
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Fax | 843-852-0500
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | MS. MARY E PETERS
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Credential | CMC
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Telephone | 843-442-4238
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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 | IHCP-0039
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License Number State | SC
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