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General NPI Number Information
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NPI Number | 1134646110
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Entity Type | Organization
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Legal Business Name | TENNYSON HEALTH CARE SERVICES INC.
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Dates
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Enumeration Date | 08/29/2017
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Last Update Date | 05/23/2025
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Provider Practice Location Address
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Address Line | 6520 POE AVE STE 170
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City | DAYTON
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State | OH
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Zip | 45414-2858
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Country | US
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Telephone | 937-212-9834
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Fax | 937-387-9356
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Provider Business Mailing Address
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Address Line | 6520 POE AVE STE 170
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City | DAYTON
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State | OH
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Zip | 45414-2858
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Country | US
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Telephone | 937-387-9209
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Fax | 937-836-2368
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MRS. SUSIE E DIBO NGALLE
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Credential | BSDH, RDH
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Telephone | 937-212-9834
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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 | 011139
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number | 011139
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License Number State | OH
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