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General NPI Number Information
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NPI Number | 1043511025
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Entity Type | Organization
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Legal Business Name | LANNON HOME CARE LLC
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Dates
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Enumeration Date | 11/08/2010
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Last Update Date | 11/08/2010
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Provider Practice Location Address
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Address Line | 916 KELLY AVE
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City | AKRON
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State | OH
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Zip | 44306-2816
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Country | US
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Telephone | 888-667-2638
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Fax | 330-319-7375
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Provider Business Mailing Address
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Address Line | 916 KELLY AVE
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City | AKRON
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State | OH
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Zip | 44306-2816
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Country | US
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Telephone | 888-667-2638
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Fax | 330-319-7375
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Authorized Official
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Title or Position | MANAGER/OWNER
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Name | MRS. WILLA LANIER
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Credential |
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Telephone | 888-667-2638
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number | 2945906
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License Number State | OH
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