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NPI 1952243719

NPI 1952243719 : K MICHELLE HOME CARE : MONTGOMERY, AL

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General NPI Number Information
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    NPI Number           |    1952243719
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    Entity Type          |    Organization 
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    Legal Business Name  |    K MICHELLE HOME CARE 
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Dates
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    Enumeration Date     |    04/08/2026
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    Last Update Date     |    04/08/2026
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Provider Practice Location Address
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    Address Line         |    6526 FIREFLY LN 
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    City                 |    MONTGOMERY
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    State                |    AL
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    Zip                  |    36116-8923
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    Country              |    US
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    Telephone            |    334-928-8686
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 230003 
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    City                 |    MONTGOMERY
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    State                |    AL
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    Zip                  |    36123-0003
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    Country              |    US
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    Telephone            |    334-928-8686
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     KIMBERLY  BLOCTON 
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    Credential           |    
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    Telephone            |    334-928-8686
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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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