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General NPI Number Information
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NPI Number | 1982238515
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Entity Type | Organization
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Legal Business Name | JOLLYS HELPING HANDS LLC
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Dates
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Enumeration Date | 02/22/2020
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Last Update Date | 02/22/2020
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Provider Practice Location Address
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Address Line | 1713 DOVE LOOP RD APT 226
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City | GRAPEVINE
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State | TX
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Zip | 76051-8912
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Country | US
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Telephone | 817-936-3209
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Fax | 817-527-6118
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Provider Business Mailing Address
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Address Line | 1713 DOVE LOOP RD APT 226
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City | GRAPEVINE
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State | TX
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Zip | 76051-8912
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Country | US
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Telephone | 817-936-3209
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Fax | 817-527-6118
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Authorized Official
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Title or Position | OWNER
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Name | PHYLLIS PATRICIA JOLLY
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Credential | CNA
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Telephone | 817-936-3209
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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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