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General NPI Number Information
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NPI Number | 1962902338
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Entity Type | Organization
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Legal Business Name | FOR HOME MATTERS, LLC
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Dates
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Enumeration Date | 02/12/2018
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Last Update Date | 02/12/2018
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Provider Practice Location Address
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Address Line | 1267 DRESDEN CIR
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City | HAMPTON
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State | GA
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Zip | 30228-6404
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Country | US
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Telephone | 770-906-8284
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Fax | 770-302-0333
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Provider Business Mailing Address
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Address Line | 2261 TALMADGE RD UNIT 266
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City | LOVEJOY
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State | GA
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Zip | 30250-9911
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Country | US
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Telephone | 770-906-8284
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Fax | 678-302-0333
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | CARMEL PHILISTIN
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Credential |
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Telephone | 770-906-8284
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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 | 031-R-1887
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License Number State | GA
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