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General NPI Number Information
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NPI Number | 1871619460
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Entity Type | Organization
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Legal Business Name | ST.MARY'S HOMES CARE
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Dates
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Enumeration Date | 03/22/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1111 WESYLAN BOULEVARD
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City | ROCKY MOUNT
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State | NC
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Zip | 27804
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Country | US
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Telephone | 252-446-6685
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Fax | 252-446-6695
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Provider Business Mailing Address
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Address Line | 1111 WESYLAN BOULEVARD
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City | ROCKY MOUNT
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State | NC
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Zip | 27804
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Country | US
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Telephone | 252-446-6685
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Fax | 252-446-6695
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Authorized Official
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Title or Position | REGIONAL COORINADOR
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Name | SARAH RHODES
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Credential |
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Telephone | 919-889-5988
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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