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General NPI Number Information
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NPI Number | 1972232486
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Entity Type | Organization
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Legal Business Name | TENDER CARING HOME SERVICES, LLC
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Dates
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Enumeration Date | 06/09/2022
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Last Update Date | 07/18/2022
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Provider Practice Location Address
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Address Line | 1710 CREST RIDGE DR
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City | EAST POINT
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State | GA
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Zip | 30344-5771
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Country | US
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Telephone | 404-983-0633
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Fax |
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Provider Business Mailing Address
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Address Line | 1710 CREST RIDGE DR
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City | EAST POINT
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State | GA
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Zip | 30344-5771
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Country | US
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Telephone | 912-259-5128
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TERRELL HUMPHRIES
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Credential |
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Telephone | 470-351-7660
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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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 | 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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