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General NPI Number Information
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NPI Number | 1053808782
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Entity Type | Organization
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Legal Business Name | GOOD HANDS HOME CARE
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Dates
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Enumeration Date | 04/18/2018
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Last Update Date | 02/20/2024
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Provider Practice Location Address
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Address Line | 630 FREEDOM BUSINESS CTR DR FL 3
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City | KING OF PRUSSIA
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State | PA
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Zip | 19406-1331
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Country | US
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Telephone | 610-285-1095
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Fax | 215-359-0616
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Provider Business Mailing Address
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Address Line | 630 FREEDOM BUSINESS CTR DR FL 3
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City | KING OF PRUSSIA
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State | PA
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Zip | 19406-1331
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Country | US
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Telephone | 102-851-0956
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Fax | 215-359-0616
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Authorized Official
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Title or Position | DIRECTOR
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Name | ZACKLINE MENDY
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Credential |
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Telephone | 610-285-1095
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number | 34153601
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License Number State |
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