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General NPI Number Information
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NPI Number | 1952075731
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Entity Type | Organization
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Legal Business Name | STAY RIGHT AT HOME CARE FOR SENIORS
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Dates
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Enumeration Date | 08/04/2021
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Last Update Date | 08/04/2021
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Provider Practice Location Address
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Address Line | 6145 SWABIA CT
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City | STONE MOUNTAIN
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State | GA
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Zip | 30087-4988
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Country | US
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Telephone | 678-934-2604
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Fax |
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Provider Business Mailing Address
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Address Line | 6145 SWABIA CT
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City | STONE MOUNTAIN
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State | GA
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Zip | 30087-4988
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Country | US
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Telephone | 678-934-2604
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | CHONTELLE MATTHEWS
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Credential |
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Telephone | 678-934-2604
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number |
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License Number State |
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