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General NPI Number Information
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NPI Number | 1992836811
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Entity Type | Organization
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Legal Business Name | OUR HOUSE HOME CARE SERVICE, INC.
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Dates
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Enumeration Date | 03/09/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2807 NEUSE BLVD SUITE 6
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City | NEW BERN
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State | NC
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Zip | 28562-2815
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Country | US
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Telephone | 252-634-2211
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Fax | 252-634-2212
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Provider Business Mailing Address
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Address Line | P. O. BOX 15123
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City | NEW BERN
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State | NC
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Zip | 28562-2815
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Country | US
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Telephone | 252-634-2211
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Fax | 252-634-2212
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Authorized Official
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Title or Position | ADMINISTRATIVE DIRECTOR
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Name | MRS. WENTIERS ANTARIO LONDON
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Credential |
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Telephone | 252-634-2211
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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 | HC 2208
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License Number State | NC
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