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General NPI Number Information
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NPI Number | 1093832628
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Entity Type | Organization
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Legal Business Name | ELDERCARE INC
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Dates
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Enumeration Date | 03/26/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2006 BROADWAY AVE
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City | GREAT BEND
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State | KS
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Zip | 67530-4042
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Country | US
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Telephone | 620-792-5942
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Fax | 620-792-6049
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Provider Business Mailing Address
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Address Line | PO BOX 1364
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City | GREAT BEND
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State | KS
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Zip | 67530-1364
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Country | US
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Telephone | 620-792-5942
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Fax | 620-792-6049
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Authorized Official
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Title or Position | CARE MANAGER
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Name | LORNA MCFARREN
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Credential | LBSW
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Telephone | 620-792-5942
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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 | A005005
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License Number State | KS
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