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General NPI Number Information
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NPI Number | 1871400341
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Entity Type | Organization
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Legal Business Name | GENUINE LOVE IHC PROVIDERS, LLC
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Dates
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Enumeration Date | 08/27/2026
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Last Update Date | 08/27/2026
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Provider Practice Location Address
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Address Line | 376 SONIA DRIVE COLUMBUS MS 39702
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City | COLUMBUS
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State | MS
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Zip | 66284-8993
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Country | US
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Telephone | 662-848-9937
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Fax | 662-848-9937
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Provider Business Mailing Address
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Address Line | 376 SONIA DRIVE COLUMBUS MS 39702
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City | COLUMBUS
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State | MS
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Zip | 66284-8993
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Country | US
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Telephone | 662-848-9937
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Fax | 662-848-9937
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Authorized Official
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Title or Position | OWNER
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Name | MS. PRECIOUS N CRADDIETH
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Credential | CRADDIETH
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Telephone | 662-848-9937
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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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