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General NPI Number Information
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NPI Number | 1063220937
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Entity Type | Organization
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Legal Business Name | GUIDED HANDS HOME CARE LLC
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Dates
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Enumeration Date | 12/24/2024
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Last Update Date | 12/24/2024
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Provider Practice Location Address
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Address Line | 8100 S HARPER AVE
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City | CHICAGO
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State | IL
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Zip | 60619-4639
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Country | US
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Telephone | 630-796-0002
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Fax |
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Provider Business Mailing Address
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Address Line | 1074 W TAYLOR ST # 238
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City | CHICAGO
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State | IL
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Zip | 60607-4336
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | RENITA SANDERS
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Credential |
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Telephone | 630-796-0002
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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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 | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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