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General NPI Number Information
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NPI Number | 1922495365
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Entity Type | Organization
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Legal Business Name | EASY LIVING HOME CARE
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Dates
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Enumeration Date | 04/23/2015
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Last Update Date | 04/23/2015
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Provider Practice Location Address
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Address Line | 216 OUACHITA AVE
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City | MONROE
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State | LA
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Zip | 71201-8513
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Country | US
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Telephone | 318-322-4770
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Fax | 318-322-4770
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Provider Business Mailing Address
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Address Line | 216 OUACHITA AVE
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City | MONROE
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State | LA
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Zip | 71201-8513
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Country | US
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Telephone | 318-322-4770
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Fax | 318-322-4770
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Authorized Official
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Title or Position | DIRECTOR
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Name | LAYONDA KASHET FOSTER HICKS
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Credential |
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Telephone | 318-322-4770
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State | LA
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