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General NPI Number Information
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NPI Number | 1942090535
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Entity Type | Organization
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Legal Business Name | GGM HOMECARE, CORP
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Dates
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Enumeration Date | 05/08/2025
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Last Update Date | 05/08/2025
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Provider Practice Location Address
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Address Line | 389 PALM COAST PKWY SW UNIT 3P
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City | PALM COAST
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State | FL
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Zip | 32137-4772
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Country | US
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Telephone | 917-513-1735
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Fax | 386-597-1938
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Provider Business Mailing Address
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Address Line | 389 PALM COAST PKWY SW UNIT 3P
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City | PALM COAST
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State | FL
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Zip | 32137-4772
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Country | US
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Telephone | 917-513-1735
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Fax | 386-597-1938
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Authorized Official
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Title or Position | OWNER/VP
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Name | GINA MCMANUS
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Credential |
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Telephone | 917-513-1735
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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