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General NPI Number Information
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NPI Number | 1104885870
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Entity Type | Organization
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Legal Business Name | A FAMILIAR FACE HOME HEALTH SERVICES, INC.
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Dates
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Enumeration Date | 03/21/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5899 WHITFIELD AVE SUITE 107
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City | SARASOTA
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State | FL
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Zip | 34243-6152
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Country | US
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Telephone | 941-355-9474
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Fax | 941-359-1533
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Provider Business Mailing Address
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Address Line | 5899 WHITFIELD AVE SUITE 107
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City | SARASOTA
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State | FL
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Zip | 34243-6152
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Country | US
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Telephone | 941-355-9474
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Fax | 941-359-1533
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Authorized Official
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Title or Position | ADMINISTRATOR/CEO
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Name | DONNA VENTURA
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Credential |
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Telephone | 941-355-9474
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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 | FL
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