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General NPI Number Information
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NPI Number | 1184858193
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Entity Type | Organization
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Legal Business Name | GOD BLESS HOME HEALTH
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Dates
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Enumeration Date | 05/05/2009
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Last Update Date | 10/08/2024
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Provider Practice Location Address
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Address Line | 950 S PINE ISLAND RD SUITE 150, UNIT 1019
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City | PLANTATION
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State | FL
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Zip | 33324
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Country | US
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Telephone | 954-342-9824
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Fax |
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Provider Business Mailing Address
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Address Line | 6941 NW 15TH ST
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City | PLANTATION
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State | FL
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Zip | 33313-5320
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Country | US
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Telephone | 954-348-8705
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ASHLEY BROWN
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Credential |
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Telephone | 954-348-8705
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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 | 228483
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License Number State | FL
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