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General NPI Number Information
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NPI Number | 1164695680
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Entity Type | Organization
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Legal Business Name | OPTIONS PLUS HOME CARE LLC
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Dates
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Enumeration Date | 04/04/2008
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Last Update Date | 10/17/2016
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Provider Practice Location Address
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Address Line | 1159 GILMORE AVE SUITE C
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City | WINONA
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State | MN
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Zip | 55987-2489
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Country | US
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Telephone | 507-474-1509
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Fax | 507-474-2509
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Provider Business Mailing Address
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Address Line | 1159 GILMORE AVE STE C
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City | WINONA
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State | MN
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Zip | 55987-2489
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Country | US
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Telephone | 507-474-1509
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Fax | 507-474-2509
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Authorized Official
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Title or Position | CEO
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Name | MS. JENNI LEE ZIMMERMAN
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Credential | LPN
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Telephone | 507-474-1509
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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 | 25827
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License Number State | MN
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