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General NPI Number Information
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NPI Number | 1144759259
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Entity Type | Organization
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Legal Business Name | GRACIOUS LOVING HOME CARE LLC
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Dates
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Enumeration Date | 06/12/2017
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Last Update Date | 01/08/2021
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Provider Practice Location Address
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Address Line | 2151 E HIGH ST STE B
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City | POTTSTOWN
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State | PA
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Zip | 19464-3289
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Country | US
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Telephone | 610-268-7797
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Fax | 610-500-5013
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Provider Business Mailing Address
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Address Line | 2151 E HIGH ST STE B
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City | POTTSTOWN
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State | PA
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Zip | 19464-3289
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Country | US
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Telephone | 610-268-7797
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Fax | 610-500-5013
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Authorized Official
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Title or Position | ADMINISTRATOR/ EXECUTIVE DIRECTOR
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Name | MONICA BERA
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Credential |
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Telephone | 267-972-2808
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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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