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General NPI Number Information
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NPI Number | 1992353650
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Entity Type | Organization
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Legal Business Name | EVANS HOME CARE SERVICES LLC
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Dates
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Enumeration Date | 08/27/2019
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Last Update Date | 08/27/2019
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Provider Practice Location Address
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Address Line | 7495 COVINGTON HWY
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City | LITHONIA
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State | GA
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Zip | 30058-7664
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Country | US
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Telephone | 770-837-9343
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Fax | 770-674-0635
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Provider Business Mailing Address
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Address Line | 7495 COVINGTON HWY
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City | LITHONIA
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State | GA
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Zip | 30058-7664
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Country | US
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Telephone | 770-837-9343
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Fax | 770-674-0635
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Authorized Official
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Title or Position | DIRECTOR
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Name | LILIANE A MONTHE NCHAKO
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Credential | OWNER
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Telephone | 770-837-9343
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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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