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General NPI Number Information
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NPI Number | 1003460403
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Entity Type | Organization
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Legal Business Name | HANDS AT HOME LLC
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Dates
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Enumeration Date | 07/25/2019
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Last Update Date | 03/09/2022
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Provider Practice Location Address
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Address Line | 100 S 4TH ST
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City | SAINT LOUIS
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State | MO
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Zip | 63102-1800
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Country | US
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Telephone | 314-797-5297
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Fax |
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Provider Business Mailing Address
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Address Line | 100 S 4TH ST
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City | SAINT LOUIS
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State | MO
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Zip | 63102-1800
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Country | US
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Telephone | 314-797-5297
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Fax |
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Authorized Official
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Title or Position | OWNER/ MANAGER
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Name | EBONY WILSON
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Credential |
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Telephone | 314-797-5297
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #3
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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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