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General NPI Number Information
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NPI Number | 1134729015
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Entity Type | Organization
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Legal Business Name | NURTURING FAMILY HOME HEALTHCARE LLC
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Dates
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Enumeration Date | 10/29/2020
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Last Update Date | 03/18/2021
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Provider Practice Location Address
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Address Line | 9378 OLIVE BLVD STE 312
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City | OLIVETTE
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State | MO
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Zip | 63132-3224
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Country | US
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Telephone | 314-679-0900
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Fax |
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Provider Business Mailing Address
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Address Line | 9378 OLIVE BLVD STE 312
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City | OLIVETTE
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State | MO
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Zip | 63132-3224
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Country | US
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Telephone | 314-679-0900
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | CHATAUQUA MONIQUE SEYMOUR
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Credential |
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Telephone | 314-679-0900
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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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