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General NPI Number Information
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NPI Number | 1952641417
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Entity Type | Organization
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Legal Business Name | 2CS HOME HEALTH SERVICES, INC.
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Dates
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Enumeration Date | 02/20/2013
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Last Update Date | 02/20/2013
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Provider Practice Location Address
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Address Line | 4353 US HIGHWAY 82
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City | BRUNSWICK
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State | GA
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Zip | 31523-7730
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Country | US
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Telephone | 912-574-7128
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3065
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City | BRUNSWICK
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State | GA
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Zip | 31521-3065
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Country | US
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Telephone | 912-574-7128
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. MORRISON TYLER WAYE JR.
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Credential | MBA, MPH
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Telephone | 912-399-0244
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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 | GA
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