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General NPI Number Information
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NPI Number | 1205331246
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Entity Type | Organization
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Legal Business Name | DAILYCARE NON-MEDICAL HOMECARE AGENCY,LLC
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Dates
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Enumeration Date | 03/29/2018
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Last Update Date | 09/01/2022
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Provider Practice Location Address
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Address Line | 18305 N. SCOTTSDALE RD
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City | SCOTTSDALE
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State | AZ
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Zip | 85254
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Country | US
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Telephone | 480-878-1466
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Fax |
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Provider Business Mailing Address
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Address Line | 18305 N. SCOTTSDALE
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City | SCOTTSDALE
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State | AZ
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Zip | 85254
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Country | US
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Telephone | 480-878-1466
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LILLIE MARIE LONG
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Credential |
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Telephone | 480-878-1466
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State | AZ
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