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NPI 1982317665

NPI 1982317665 : QUALITY SOLUTIONS HOMECARE LLC : JACKSON, MS

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General NPI Number Information
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    NPI Number           |    1982317665
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    Entity Type          |    Organization 
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    Legal Business Name  |    QUALITY SOLUTIONS HOMECARE LLC 
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Dates
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    Enumeration Date     |    12/28/2022
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    Last Update Date     |    12/28/2022
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Provider Practice Location Address
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    Address Line         |    840 E RIVER PL STE 504 
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    City                 |    JACKSON
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    State                |    MS
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    Zip                  |    39202-3487
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    Country              |    US
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    Telephone            |    601-937-6683
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    4868 BROOKWOOD PL 
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    City                 |    BYRAM
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    State                |    MS
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    Zip                  |    39272-5706
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    Country              |    US
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    Telephone            |    601-937-6683
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |    MS. JESSICA DENISE WATTS 
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    Credential           |    
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    Telephone            |    601-937-6683
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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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