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General NPI Number Information
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NPI Number | 1073110862
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Entity Type | Organization
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Legal Business Name | WILLING HANDS, INC.
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Dates
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Enumeration Date | 10/05/2020
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Last Update Date | 10/05/2020
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Provider Practice Location Address
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Address Line | 7100 BROADWAY AVE
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City | CLEVELAND
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State | OH
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Zip | 44105-1475
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Country | US
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Telephone | 216-481-8807
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Fax |
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Provider Business Mailing Address
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Address Line | 3707 E 71ST ST
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City | CLEVELAND
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State | OH
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Zip | 44105-1467
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Country | US
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Telephone | 216-441-7977
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Fax | 216-441-9127
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Authorized Official
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Title or Position | CEO
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Name | MRS. YVONNE WALLACE
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Credential |
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Telephone | 216-990-0420
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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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 | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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Taxonomy #3
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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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