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General NPI Number Information
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NPI Number | 1114485232
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Entity Type | Organization
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Legal Business Name | LOVELY HOME HEALTH CARE INC
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Dates
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Enumeration Date | 03/07/2019
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Last Update Date | 09/28/2021
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Provider Practice Location Address
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Address Line | 18191 NW 68TH AVE STE 217
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City | HIALEAH
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State | FL
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Zip | 33015-3998
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Country | US
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Telephone | 786-686-5540
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Fax | 786-686-5541
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Provider Business Mailing Address
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Address Line | 18191 NW 68TH AVE STE 217
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City | HIALEAH
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State | FL
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Zip | 33015-3998
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Country | US
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Telephone | 786-686-5540
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Fax | 786-686-5541
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Authorized Official
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Title or Position | PRESIDENT
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Name | BLANCA M PORTILLO
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Credential |
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Telephone | 786-686-5540
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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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