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NPI Code Detail

MEDICARE: STATE HOME CARE SERVICES, INC

MEDICARE: STATE HOME CARE SERVICES, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health AgencySD

General Provider Information

NPI Number : 1265680474
Entity Type Code : Organization
Provider Name (Legal Business Name) : STATE HOME CARE SERVICES, INC
Provider Business Mailing Address
First Line : 900 E 20TH ST
Second Line : SUITE 317
City : SIOUX FALLS
State : SD
Zip : 57105-1012
Country : US
Telephone Number : 605-335-3373
Fax Number :
Provider Business Practice Location Address
First Line : 900 E 20TH ST
Second Line : SUITE 317
City : SIOUX FALLS
State : SD
Zip : 57105-1012
Country : US
Telephone Number : 605-335-3373
Fax Number :
Authorized Official
Title or Position : DIRECTOR
Name : MR. ANDREW PATRICK BEEDLE
Credential : RN
Telephone Number : 605-335-3373
Provider Enumeration Date : 08/29/2008
Last Update Date : 08/29/2008

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Directions to “STATE HOME CARE SERVICES, INC ” Practice Location

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