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General NPI Number Information
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NPI Number | 1891120424
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Entity Type | Organization
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Legal Business Name | PROCLAIM HOME CARE, INC
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Dates
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Enumeration Date | 09/13/2013
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Last Update Date | 05/21/2024
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Provider Practice Location Address
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Address Line | 90 ZENA DRIVE SUITE A
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City | CARTERSVILLE
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State | GA
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Zip | 30121
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Country | US
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Telephone | 678-721-7880
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Fax | 678-721-7881
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Provider Business Mailing Address
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Address Line | PO BOX 775
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City | CARTERSVILLE
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State | GA
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Zip | 30120-0775
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Country | US
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Telephone | 678-721-7880
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Fax | 678-721-7881
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Authorized Official
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Title or Position | OWNER/CEO
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Name | MRS. KESHIA BREE HALL
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Credential |
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Telephone | 678-898-3049
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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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