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General NPI Number Information
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NPI Number | 1164134581
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Entity Type | Organization
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Legal Business Name | LIVE LIFE BETTER HOME SERVICES, LLC
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Dates
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Enumeration Date | 12/16/2022
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Last Update Date | 12/16/2022
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Provider Practice Location Address
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Address Line | 1620 W 89TH ST
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City | CHICAGO
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State | IL
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Zip | 60620-4924
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Country | US
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Telephone | 708-575-2082
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Fax | 708-575-2442
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Provider Business Mailing Address
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Address Line | 16601 LUELLA AVE
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City | SOUTH HOLLAND
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State | IL
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Zip | 60473-2618
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Country | US
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Telephone | 708-715-4586
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Fax | 708-575-2442
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Authorized Official
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Title or Position | CEO/AGENCY MANAGER
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Name | MRS. ANQUINETTE COLVIN
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Credential | RN
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Telephone | 708-715-4586
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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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