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General NPI Number Information
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NPI Number | 1972026573
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Entity Type | Organization
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Legal Business Name | THREE RIVERS SENIOR SERVICES, INC.
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Dates
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Enumeration Date | 07/25/2017
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Last Update Date | 07/25/2017
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Provider Practice Location Address
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Address Line | 420 S MAIN ST
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City | MOUNTAIN HOME
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State | AR
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Zip | 72653-3852
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Country | US
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Telephone | 870-425-0700
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1974
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City | MOUNTAIN HOME
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State | AR
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Zip | 72654-1974
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/SECRETARY
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Name | MARY ELAINE MORRIS
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Credential |
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Telephone | 870-425-0700
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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 | AR5065
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License Number State | AR
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