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General NPI Number Information
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NPI Number | 1053020982
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Entity Type | Organization
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Legal Business Name | 4 CARE AT HOME INC
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Dates
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Enumeration Date | 11/18/2022
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Last Update Date | 11/18/2022
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Provider Practice Location Address
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Address Line | 2008 FAIRMOUNT AVE 3RD FLOOR
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City | PHILADELPHIA
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State | PA
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Zip | 19130
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Country | US
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Telephone | 302-293-1783
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Fax |
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Provider Business Mailing Address
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Address Line | 1205 VARSITY LN
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City | BEAR
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State | DE
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Zip | 19701-3914
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | SHEENA WESLEY
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Credential |
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Telephone | 302-293-1783
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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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