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General NPI Number Information
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NPI Number | 1023825296
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Entity Type | Organization
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Legal Business Name | SOTERIA HOME HEALTHCARE LLC
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Dates
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Enumeration Date | 12/11/2024
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Last Update Date | 12/11/2024
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Provider Practice Location Address
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Address Line | 21525 WELBY TER
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City | BROADLANDS
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State | VA
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Zip | 20148-5048
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Country | US
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Telephone | 323-601-3501
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Fax |
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Provider Business Mailing Address
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Address Line | 21525 WELBY TER
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City | BROADLANDS
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State | VA
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Zip | 20148-5048
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Country | US
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Telephone | 323-601-3501
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | EDITH C NWOKORO
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Credential |
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Telephone | 323-601-3501
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing 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 | 385HR2060X
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Taxonomy Name | Child Intellectual and/or Developmental Disabilities Respite Care
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 385HR2065X
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Taxonomy Name | Child Physical Disabilities Respite Care
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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