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General NPI Number Information
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NPI Number | 1134680903
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Entity Type | Organization
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Legal Business Name | HEALING HANDS HOME HEALTH CARE, LLC
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Dates
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Enumeration Date | 03/26/2019
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Last Update Date | 08/11/2021
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Provider Practice Location Address
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Address Line | 540 W 35TH ST STE 202
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City | CHICAGO
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State | IL
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Zip | 60616-3532
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Country | US
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Telephone | 312-819-5300
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Fax | 312-819-5333
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Provider Business Mailing Address
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Address Line | 401 E 162ND ST STE 203
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City | SOUTH HOLLAND
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State | IL
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Zip | 60473-2237
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Country | US
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Telephone | 773-349-0783
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | AMANDA D PETERS
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Credential |
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Telephone | 773-349-0783
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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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