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General NPI Number Information
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NPI Number | 1144939018
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Entity Type | Organization
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Legal Business Name | FAITH & MERCY HOMES LLC
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Dates
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Enumeration Date | 11/21/2022
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Last Update Date | 11/21/2022
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Provider Practice Location Address
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Address Line | 222 JEWETT ST
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City | AKRON
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State | OH
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Zip | 44305-1541
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Country | US
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Telephone | 330-515-6625
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Fax |
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Provider Business Mailing Address
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Address Line | 161 MUSTILL ST
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City | AKRON
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State | OH
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Zip | 44304-1039
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Country | US
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Telephone | 330-376-5291
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. BETTY BRAZIL
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Credential | HHA,STNA,TMA
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Telephone | 330-515-6625
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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