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General NPI Number Information
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NPI Number | 1932851870
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Entity Type | Organization
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Legal Business Name | QUALITY CARE PROVIDERS HOMEMAKER & COMPANION LLC
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Dates
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Enumeration Date | 01/21/2022
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Last Update Date | 11/15/2024
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Provider Practice Location Address
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Address Line | 283 NELLE AVE APT D
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City | PANAMA CITY
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State | FL
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Zip | 32404-7748
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Country | US
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Telephone | 448-220-9124
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Fax |
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Provider Business Mailing Address
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Address Line | 283 NELLE AVE APT D
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City | PANAMA CITY
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State | FL
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Zip | 32404-7748
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Country | US
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Telephone | 448-220-9124
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MISS KIM LASHUN SMITH
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Credential | ADMINISTRATOR
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Telephone | 448-220-9124
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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