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General NPI Number Information
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NPI Number | 1053200444
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Entity Type | Organization
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Legal Business Name | ALL EMBRACING HOME CARE SOUTHEAST, LLC.
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Dates
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Enumeration Date | 06/30/2025
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Last Update Date | 07/28/2025
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Provider Practice Location Address
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Address Line | 294 GLENEAGLES DR
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City | ORANGE PARK
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State | FL
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Zip | 32073-4237
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Country | US
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Telephone | 608-931-8171
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Fax | 701-335-7527
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Provider Business Mailing Address
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Address Line | 294 GLENEAGLES DR
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City | ORANGE PARK
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State | FL
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Zip | 32073-4237
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Country | US
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Telephone | 608-931-8171
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Fax | 701-335-7527
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | ROBBI LANCE GLEICHAUF
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Credential |
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Telephone | 608-931-8171
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number |
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License Number State |
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