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General NPI Number Information
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NPI Number | 1881363521
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Entity Type | Organization
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Legal Business Name | HOME ETHICS HEALTHCARE, INC
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Dates
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Enumeration Date | 09/07/2021
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Last Update Date | 09/07/2021
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Provider Practice Location Address
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Address Line | 310 IVANHOE DR
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City | FAYETTEVILLE
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State | GA
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Zip | 30215
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Country | US
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Telephone | 347-645-5499
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Fax | 470-567-1839
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Provider Business Mailing Address
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Address Line | 310 IVANHOE DR
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City | FAYETTEVILLE
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State | GA
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Zip | 30215
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | AGNEAU JEAN-SIMON
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Credential | MS
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Telephone | 347-645-5499
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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Taxonomy Code | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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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 | 372500000X
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Taxonomy Name | Chore Provider
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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 | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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