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General NPI Number Information
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NPI Number | 1053948844
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Entity Type | Organization
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Legal Business Name | LOVE AND CARE HOME CARE AGENCY LLC
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Dates
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Enumeration Date | 03/24/2020
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Last Update Date | 03/24/2020
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Provider Practice Location Address
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Address Line | 342 N WATER ST STE 600
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City | MILWAUKEE
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State | WI
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Zip | 53202-5715
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Country | US
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Telephone | 414-736-5209
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Fax |
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Provider Business Mailing Address
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Address Line | 342 N WATER ST STE 600 1550 N EDISON ST APT 419
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City | MILWAUKEE
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State | WI
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Zip | 53202-5715
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Country | US
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Telephone | 414-736-5209
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TONYA L JOBE
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Credential |
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Telephone | 414-736-5209
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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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