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General NPI Number Information
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NPI Number | 1154712750
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Entity Type | Organization
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Legal Business Name | WINGS OF LOVE SERVICES
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Dates
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Enumeration Date | 02/18/2015
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Last Update Date | 07/30/2025
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Provider Practice Location Address
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Address Line | 1654 MARDON DR
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City | BEAVERCREEK
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State | OH
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Zip | 45432-1949
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Country | US
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Telephone | 937-789-8192
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Fax | 937-660-9504
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Provider Business Mailing Address
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Address Line | 4130 LINDEN AVE STE 180
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City | DAYTON
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State | OH
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Zip | 45432-3058
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Country | US
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Telephone | 937-789-8192
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Fax | 937-660-9504
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Authorized Official
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Title or Position | HOME HEALTH
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Name | JANON WHITE-ADAMS
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Credential |
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Telephone | 937-789-8192
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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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Taxonomy #2
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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