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General NPI Number Information
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NPI Number | 1902790736
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Entity Type | Organization
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Legal Business Name | PRISCILLAS HOME CARE AGENCY LLC
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Dates
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Enumeration Date | 06/05/2025
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Last Update Date | 06/05/2025
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Provider Practice Location Address
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Address Line | 701 COMMERCE ST STE 505
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City | DALLAS
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State | TX
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Zip | 75202-4522
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Country | US
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Telephone | 214-600-7089
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Fax |
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Provider Business Mailing Address
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Address Line | 701 COMMERCE ST STE 505
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City | DALLAS
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State | TX
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Zip | 75202-4522
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Country | US
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Telephone | 214-600-7089
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Fax |
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Authorized Official
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Title or Position | CO-OWNER/ CARE COORDINATOR
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Name | CHANTELL AKUFFO
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Credential |
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Telephone | 732-213-2480
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care 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 | 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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