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General NPI Number Information
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NPI Number | 1205082344
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Entity Type | Organization
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Legal Business Name | ALTUS HOME HEALTH SERVICES, LLC.
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Dates
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Enumeration Date | 08/08/2008
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Last Update Date | 05/12/2015
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Provider Practice Location Address
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Address Line | 3426 DUCK AVENUE
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City | KEY WEST
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State | FL
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Zip | 33040
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Country | US
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Telephone | 305-247-4995
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Fax | 305-247-4996
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Provider Business Mailing Address
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Address Line | 3426 DUCK AVENUE
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City | KEY WEST
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State | FL
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Zip | 33040
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Country | US
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Telephone | 305-247-4995
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Fax | 305-247-4996
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Authorized Official
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Title or Position | ADMINISTRATOR/PRESIDENT
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Name | MS. MARY ANN ANN GARCIA
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Credential | RN
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Telephone | 305-247-4995
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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 | FL
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