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General NPI Number Information
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NPI Number | 1932857679
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Entity Type | Organization
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Legal Business Name | PEACEFUL ALTERNATIVES HOME HEALTH CARE SERVICES LLC
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Dates
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Enumeration Date | 03/11/2022
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Last Update Date | 03/11/2022
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Provider Practice Location Address
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Address Line | 112 W WASHINGTON ST STE 301
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City | SUFFOLK
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State | VA
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Zip | 23434-5246
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Country | US
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Telephone | 757-808-3856
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Fax | 757-809-3829
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Provider Business Mailing Address
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Address Line | 112 W WASHINGTON ST STE 301
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City | SUFFOLK
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State | VA
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Zip | 23434-5246
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Country | US
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Telephone | 757-808-3856
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Fax | 757-809-3829
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Authorized Official
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Title or Position | ADMINISTRATOR/OWNER
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Name | D'ADREA HARDEN FERGUSON
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Credential |
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Telephone | 757-907-1512
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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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 | 372600000X
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Taxonomy Name | Adult Companion
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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 | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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