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General NPI Number Information
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NPI Number | 1881894681
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Entity Type | Organization
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Legal Business Name | ENRICH PERSONAL CARE SERVICES, LLC.
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Dates
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Enumeration Date | 07/19/2007
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Last Update Date | 10/31/2025
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Provider Practice Location Address
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Address Line | 3200 CONCORDIA AVE
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City | MONROE
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State | LA
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Zip | 71201-5113
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Country | US
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Telephone | 318-322-7022
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Fax | 318-322-7061
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Provider Business Mailing Address
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Address Line | 3200 CONCORDIA AVE
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City | MONROE
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State | LA
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Zip | 71201-5113
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Country | US
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Telephone | 318-322-7022
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Fax | 318-322-7061
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Authorized Official
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Title or Position | PROGRAM DIRECTOR
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Name | MS. KIMBERLY MICHELLE WILSON
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Credential |
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Telephone | 318-322-7022
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number | 7285
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License Number State | LA
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