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General NPI Number Information
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NPI Number | 1013334358
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Entity Type | Organization
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Legal Business Name | HEALTH AND HOME CARE SERVICES OF LAKE HELEN LLC.
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Dates
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Enumeration Date | 03/25/2014
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Last Update Date | 03/25/2014
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Provider Practice Location Address
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Address Line | 105 CHESTNUT LN
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City | LAKE HELEN
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State | FL
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Zip | 32744-3109
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Country | US
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Telephone | 386-473-2010
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Fax |
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Provider Business Mailing Address
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Address Line | 105 CHESTNUT LN
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City | LAKE HELEN
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State | FL
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Zip | 32744-3109
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Country | US
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Telephone | 386-473-2010
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Fax |
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Authorized Official
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Title or Position | CERTIFIED HOME HEALTH AIDE
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Name | MS. MICHELLE DIANE COSTEN
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Credential | HHA
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Telephone | 386-473-2010
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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 | 130098
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License Number State | FL
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