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General NPI Number Information
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NPI Number | 1093605487
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Entity Type | Organization
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Legal Business Name | INFINITE HOMECARE LLC
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Dates
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Enumeration Date | 07/07/2025
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Last Update Date | 07/07/2025
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Provider Practice Location Address
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Address Line | 11400 KONA RANCH RD
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City | MISSOULA
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State | MT
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Zip | 59804-9411
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Country | US
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Telephone | 406-396-0204
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 570
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City | FRENCHTOWN
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State | MT
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Zip | 59834-0570
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Country | US
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Telephone | 406-396-0204
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JAMES STAFFORD
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Credential | CNA
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Telephone | 406-396-0204
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number |
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License Number State |
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