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General NPI Number Information
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NPI Number | 1114670924
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Entity Type | Organization
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Legal Business Name | FAMILY CARE & HOUSING SERVICES LLC
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Dates
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Enumeration Date | 02/01/2022
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Last Update Date | 02/01/2022
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Provider Practice Location Address
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Address Line | 42 N BENTALOU ST
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City | BALTIMORE
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State | MD
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Zip | 21223-1417
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Country | US
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Telephone | 443-977-0964
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Fax |
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Provider Business Mailing Address
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Address Line | 511 N EDGEWOOD ST
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City | BALTIMORE
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State | MD
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Zip | 21229-3060
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Country | US
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Telephone | 410-934-2236
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. TIFFANY L MACK
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Credential | RN
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Telephone | 410-934-2236
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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Taxonomy #2
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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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