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NPI 1164579793

NPI 1164579793 : LANI'S CARE NETWORK, INC. : COLORADO SPRINGS, CO

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General NPI Number Information
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    NPI Number           |    1164579793
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    Entity Type          |    Organization 
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    Legal Business Name  |    LANI'S CARE NETWORK, INC. 
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Dates
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    Enumeration Date     |    01/04/2007
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    Last Update Date     |    08/22/2020
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Provider Practice Location Address
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    Address Line         |    17420 WALDEN WAY 
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    City                 |    COLORADO SPRINGS
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    State                |    CO
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    Zip                  |    80908-1325
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    Country              |    US
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    Telephone            |    719-488-3389
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    Fax                  |    719-481-9015
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Provider Business Mailing Address
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    Address Line         |    17420 WALDEN WAY 
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    City                 |    COLORADO SPRINGS
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    State                |    CO
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    Zip                  |    80908-1325
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    Country              |    US
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    Telephone            |    719-488-3389
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    Fax                  |    719-481-9015
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Authorized Official
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    Title or Position    |    DIRECTOR
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    Name                 |    MR. ROBIN B. GLASER 
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    Credential           |    R.N.
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    Telephone            |    719-488-3389
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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       |    040590
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    License Number State |    CO
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