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NPI 1124894944

NPI 1124894944 : SPLENDID TOUCH HOMECARE : PORT ORCHARD, WA

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General NPI Number Information
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    NPI Number           |    1124894944
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    Entity Type          |    Organization 
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    Legal Business Name  |    SPLENDID TOUCH HOMECARE 
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Dates
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    Enumeration Date     |    12/01/2023
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    Last Update Date     |    12/18/2023
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Provider Practice Location Address
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    Address Line         |    4356 ANDASIO LOOP SE 
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    City                 |    PORT ORCHARD
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    State                |    WA
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    Zip                  |    98366-1234
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    Country              |    US
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    Telephone            |    719-722-7738
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    4356 ANDASIO LOOP SE 
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    City                 |    PORT ORCHARD
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    State                |    WA
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    Zip                  |    98366-1234
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    Country              |    US
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    Telephone            |    719-722-7738
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    Fax                  |    
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Authorized Official
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    Title or Position    |    AREA DIRECTOR
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    Name                 |     ABIDEMI  APATA 
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    Credential           |    
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    Telephone            |    719-722-7738
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    253Z00000X
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    Taxonomy Name        |    In Home Supportive Care Agency
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    License Number       |    
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    License Number State |    
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