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General NPI Number Information
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NPI Number | 1104414424
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Entity Type | Organization
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Legal Business Name | GOD WE DESIRE HOME CARE LLC
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Dates
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Enumeration Date | 01/03/2021
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Last Update Date | 12/08/2022
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Provider Practice Location Address
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Address Line | 12176 W 7TH DR APT 201
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City | LAKEWOOD
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State | CO
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Zip | 80401-4789
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Country | US
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Telephone | 346-316-0289
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Fax |
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Provider Business Mailing Address
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Address Line | 10799 W ALAMEDA AVE UNIT 151144
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City | LAKEWOOD
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State | CO
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Zip | 80215-7446
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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 | CO-OWNER
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Name | WENDIE DEAMS-FONTENOT
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Credential |
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Telephone | 346-316-0289
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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 |
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