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General NPI Number Information
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NPI Number | 1952476707
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Entity Type | Organization
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Legal Business Name | FAMILY HOME CARE, INC.
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Dates
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Enumeration Date | 11/21/2006
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Last Update Date | 08/15/2012
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Provider Practice Location Address
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Address Line | 1105 BATTLEGROUND DRIVE
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City | IUKA
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State | MS
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Zip | 38852
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Country | US
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Telephone | 662-423-6779
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Fax | 662-423-6464
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Provider Business Mailing Address
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Address Line | 1105 BATTLEGROUND DRIVE
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City | IUKA
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State | MS
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Zip | 38852
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Country | US
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Telephone | 662-423-6779
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Fax | 662-423-6464
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Authorized Official
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Title or Position | OWNER
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Name | MRS. CATHERINE A. CLEMONS
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Credential |
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Telephone | 662-423-6779
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 114
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License Number State | AL
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