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General NPI Number Information
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NPI Number | 1154435287
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Entity Type | Organization
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Legal Business Name | VISI CARE HOME HEALTH INC.
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Dates
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Enumeration Date | 08/18/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 46 RAVENNA ST
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City | HUDSON
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State | OH
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Zip | 44236-3033
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Country | US
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Telephone | 866-397-2616
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Fax | 330-650-5262
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Provider Business Mailing Address
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Address Line | PO BOX 2257
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City | HUDSON
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State | OH
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Zip | 44236-0857
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Country | US
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Telephone | 866-397-2616
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Fax | 330-650-5262
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. VIRGINIA L MAUCH
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Credential | RN
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Telephone | 866-397-2616
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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 | 368008
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License Number State | OH
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