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General NPI Number Information
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NPI Number | 1134658412
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Entity Type | Organization
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Legal Business Name | LOVE, FAMILY STRONG HEALTHCARE SERVICE L.L.C.
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Dates
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Enumeration Date | 06/08/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 2821 N BALLAS RD STE 230
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City | SAINT LOUIS
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State | MO
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Zip | 63131-2378
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Country | US
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Telephone | 314-477-7955
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Fax | 314-477-7955
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Provider Business Mailing Address
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Address Line | 2821 N BALLAS RD SUITE 230
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City | ST. LOUIS
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State | MO
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Zip | 63131
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Country | US
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Telephone | 314-477-7955
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Fax | 314-477-7955
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Authorized Official
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Title or Position | OWNER/MANGER
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Name | DANA RYENICE BURNS
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Credential |
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Telephone | 314-477-7955
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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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