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General NPI Number Information
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NPI Number | 1932059946
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Entity Type | Organization
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Legal Business Name | AT YOUR SERVICE HOME CARE LLC
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Dates
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Enumeration Date | 01/29/2026
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Last Update Date | 01/29/2026
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Provider Practice Location Address
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Address Line | 1256 LAVISTA CIR NE
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City | ATLANTA
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State | GA
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Zip | 30324-3765
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Country | US
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Telephone | 219-730-3483
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Fax |
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Provider Business Mailing Address
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Address Line | 1256 LAVISTA CIR NE
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City | ATLANTA
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State | GA
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Zip | 30324-3765
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Country | US
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Telephone | 219-730-3483
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Fax |
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Authorized Official
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Title or Position | GM
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Name | MRS. CORRINA LATRICE IRBY
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Credential |
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Telephone | 219-730-1956
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3747A0650X
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Taxonomy Name | Attendant Care Provider
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License Number |
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License Number State |
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