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General NPI Number Information
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NPI Number | 1902805161
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Entity Type | Organization
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Legal Business Name | QUALITY HOSPICE CARE, INC
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Dates
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Enumeration Date | 07/19/2005
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Last Update Date | 08/14/2007
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Provider Practice Location Address
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Address Line | 340 BYRD AVE S
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City | PHILADELPHIA
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State | MS
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Zip | 39350-2516
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Country | US
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Telephone | 601-656-5252
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Fax | 601-656-5253
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Provider Business Mailing Address
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Address Line | 340 BYRD AVE S
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City | PHILADELPHIA
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State | MS
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Zip | 39350-2516
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Country | US
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Telephone | 601-656-5252
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Fax | 601-656-5253
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. JOANN T. ROUNSAVILLE
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Credential | LBSW
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Telephone | 601-656-5252
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number | 086
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License Number State | MS
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