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General NPI Number Information
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NPI Number | 1104362607
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Entity Type | Organization
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Legal Business Name | HEALING HANDS HOME HEALTH SERVICES
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Dates
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Enumeration Date | 01/09/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 4935 ABBOT RUN CT
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City | LIBERTY TWP
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State | OH
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Zip | 45011-8656
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Country | US
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Telephone | 847-418-1170
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Fax |
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Provider Business Mailing Address
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Address Line | 4935 ABBOT RUN CT
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City | LIBERTY TWP
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State | OH
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Zip | 45011-8656
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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 | OWNER/CEO
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Name | NERLEEN AUGUSTIN
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Credential |
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Telephone | 847-418-1170
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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 | OH
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