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General NPI Number Information
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NPI Number | 1205256252
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Entity Type | Organization
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Legal Business Name | GOLDEN HEARTS' COMPANION & HOMEMAKER SERVICE, LLC
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Dates
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Enumeration Date | 04/17/2014
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Last Update Date | 04/17/2014
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Provider Practice Location Address
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Address Line | 5756 EDDY CT
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City | LAKE WORTH
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State | FL
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Zip | 33463
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Country | US
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Telephone | 561-860-2145
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Fax |
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Provider Business Mailing Address
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Address Line | 5756 EDDY CT
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City | LAKE WORTH
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State | FL
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Zip | 33463-6753
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Country | US
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Telephone | 561-860-2145
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. EVENS SALNAVE
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Credential |
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Telephone | 561-860-2145
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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 | 232901
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License Number State | FL
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