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General NPI Number Information
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NPI Number | 1053455162
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Entity Type | Organization
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Legal Business Name | PREFERRED HOME CARE LLC
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Dates
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Enumeration Date | 02/20/2007
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Last Update Date | 12/10/2024
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Provider Practice Location Address
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Address Line | 4211 BLAKELY AVENUE SUITE 200
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City | BALTIMORE
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State | MD
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Zip | 21236-2258
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Country | US
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Telephone | 410-248-9800
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Fax | 410-248-9801
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Provider Business Mailing Address
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Address Line | 4134 E JOPPA RD SUITE 202
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City | BALTIMORE
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State | MD
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Zip | 21236-2284
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Country | US
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Telephone | 410-248-9800
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Fax | 410-248-9801
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Authorized Official
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Title or Position | CFO
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Name | MR. RONALD D JONES
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Credential |
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Telephone | 410-248-9800
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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 | R2479
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License Number State | MD
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Taxonomy #2
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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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