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General NPI Number Information
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NPI Number | 1053271858
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Entity Type | Organization
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Legal Business Name | FOREVER CARE NO 1 LLC
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Dates
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Enumeration Date | 11/13/2025
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Last Update Date | 11/13/2025
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Provider Practice Location Address
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Address Line | 1001 S M ST APT 13
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City | LAKE WORTH BEACH
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State | FL
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Zip | 33460-5169
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Country | US
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Telephone | 239-497-1515
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Fax |
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Provider Business Mailing Address
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Address Line | 1001 S M ST APT 13
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City | LAKE WORTH BEACH
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State | FL
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Zip | 33460-5169
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Country | US
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Telephone | 239-497-1515
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | REKIYA HAMILTON
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Credential | CNA
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Telephone | 728-728-0222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State |
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