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General NPI Number Information
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NPI Number | 1922945856
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Entity Type | Organization
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Legal Business Name | CARE WELL LLC
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Dates
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Enumeration Date | 04/29/2026
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Last Update Date | 04/29/2026
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Provider Practice Location Address
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Address Line | 750 AVIGNON DR STE 4
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City | RIDGELAND
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State | MS
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Zip | 39157-5157
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Country | US
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Telephone | 601-919-5044
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Fax |
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Provider Business Mailing Address
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Address Line | 750 AVIGNON DR STE 4
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City | RIDGELAND
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State | MS
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Zip | 39157-5157
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LATRICIA WILKERSON
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Credential |
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Telephone | 601-919-5044
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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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 | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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