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General NPI Number Information
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NPI Number | 1982890950
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Entity Type | Organization
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Legal Business Name | AT HOME CARE, INC
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Dates
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Enumeration Date | 09/24/2007
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Last Update Date | 09/24/2007
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Provider Practice Location Address
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Address Line | 1004 COLLEGE ST
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City | PORT GIBSON
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State | MS
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Zip | 39150-2434
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Country | US
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Telephone | 601-437-3524
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Fax | 601-437-3570
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Provider Business Mailing Address
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Address Line | 1004 COLLEGE ST
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City | PORT GIBSON
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State | MS
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Zip | 39150-2434
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Country | US
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Telephone | 601-437-3524
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Fax | 601-437-3570
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Authorized Official
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Title or Position | MANAGER
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Name | MRS. NARSHUNDA A ROGERS
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Credential |
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Telephone | 601-437-3524
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State | MS
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