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General NPI Number Information
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NPI Number | 1144810250
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Entity Type | Organization
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Legal Business Name | HEARTLAND HOME LLC
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Dates
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Enumeration Date | 01/22/2021
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Last Update Date | 01/22/2021
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Provider Practice Location Address
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Address Line | 930 MASON ST
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City | DAYTON
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State | VA
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Zip | 22821-9717
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Country | US
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Telephone | 540-908-5668
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 702
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City | DAYTON
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State | VA
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Zip | 22821-0702
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Country | US
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Telephone | 540-879-9864
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Fax |
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Authorized Official
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Title or Position | DIRECTOR/TREASURE
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Name | NEIL BEERY
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Credential |
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Telephone | 540-908-5668
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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