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General NPI Number Information
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NPI Number | 1164724209
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Entity Type | Organization
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Legal Business Name | ALEDLI HOME HEALTH CARE INC.
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Dates
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Enumeration Date | 11/23/2010
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Last Update Date | 11/18/2020
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Provider Practice Location Address
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Address Line | 628 W 55TH ST
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City | HINSDALE
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State | IL
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Zip | 60521-4357
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Country | US
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Telephone | 630-323-0128
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Fax | 866-314-7043
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Provider Business Mailing Address
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Address Line | 628 W 55TH ST
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City | HINSDALE
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State | IL
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Zip | 60521-4357
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Country | US
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Telephone | 630-323-0128
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Fax | 866-314-7043
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | ROSE S ALCANTARA
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Credential |
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Telephone | 815-212-1952
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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 | 1011368
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License Number State | IL
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