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General NPI Number Information
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NPI Number | 1962647750
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Entity Type | Organization
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Legal Business Name | JACQUELYN'S HEALTH CARE SERVICES, INC. JHCS
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Dates
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Enumeration Date | 12/08/2008
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Last Update Date | 12/08/2008
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Provider Practice Location Address
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Address Line | 680 GROVEWOOD DR
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City | GRETNA
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State | LA
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Zip | 70056-7916
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Country | US
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Telephone | 504-236-2603
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Fax | 504-433-4851
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Provider Business Mailing Address
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Address Line | 680 GROVEWOOD DR
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City | GRETNA
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State | LA
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Zip | 70056-7916
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Country | US
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Telephone | 504-236-2603
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Fax | 504-433-4851
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Authorized Official
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Title or Position | EXCUETIVE DIRECTOR/ OWNER
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Name | ERICA MONIQUE HUDSON-HERNANDEZ
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Credential | REGISTERED NURSE
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Telephone | 504-236-2603
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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 |
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Taxonomy #2
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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Taxonomy #3
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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Taxonomy #4
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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