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General NPI Number Information
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NPI Number | 1013614221
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Entity Type | Organization
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Legal Business Name | ANNA VILLA HOME, LLC
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Dates
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Enumeration Date | 02/08/2023
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Last Update Date | 02/08/2023
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Provider Practice Location Address
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Address Line | 921 NW 183RD DR
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City | MIAMI
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State | FL
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Zip | 33169-4263
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Country | US
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Telephone | 786-317-7227
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Fax |
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Provider Business Mailing Address
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Address Line | 921 NW 183RD DR
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City | MIAMI
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State | FL
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Zip | 33169-4263
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Country | US
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Telephone | 786-317-7227
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. ANNA PALMER
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Credential |
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Telephone | 786-317-7227
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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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 | 3747A0650X
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Taxonomy Name | Attendant Care Provider
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License Number |
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License Number State |
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