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General NPI Number Information
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NPI Number | 1033535273
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Entity Type | Organization
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Legal Business Name | ADRIENNE'S ADULT CARE CENTER, LLC
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Dates
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Enumeration Date | 03/12/2014
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Last Update Date | 11/03/2020
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Provider Practice Location Address
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Address Line | 8232 N BROADWAY
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City | SAINT LOUIS
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State | MO
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Zip | 63147-2324
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Country | US
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Telephone | 314-323-2273
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Fax |
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Provider Business Mailing Address
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Address Line | 8232 N BROADWAY
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City | SAINT LOUIS
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State | MO
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Zip | 63147-2324
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Country | US
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Telephone | 314-241-5456
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Fax | 314-833-4854
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Authorized Official
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Title or Position | MANAGER
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Name | ERICA FOSTER
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Credential |
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Telephone | 314-241-5456
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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 | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 0016306
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 372500000X
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Taxonomy Name | Chore Provider
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License Number | 0016306
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License Number State | MO
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Taxonomy #4
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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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