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General NPI Number Information
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NPI Number | 1962312991
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Entity Type | Organization
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Legal Business Name | CULTIVATING HOMES SC
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Dates
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Enumeration Date | 09/10/2026
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Last Update Date | 09/10/2026
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Provider Practice Location Address
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Address Line | 10546 TINTINHULL DR
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City | FORT MILL
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State | SC
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Zip | 29707-1589
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Country | US
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Telephone | 803-233-2700
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Fax |
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Provider Business Mailing Address
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Address Line | 10546 TINTINHULL DR
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City | FORT MILL
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State | SC
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Zip | 29707-1589
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Country | US
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Telephone | 803-233-2700
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | QUIANA MESHELL DIXON
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Credential |
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Telephone | 803-233-2700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253J00000X
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Taxonomy Name | Foster Care Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 322D00000X
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Taxonomy Name | Emotionally Disturbed Childrens' Residential Treatment Facility
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License Number |
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License Number State |
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