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General NPI Number Information
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NPI Number | 1205641891
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Entity Type | Organization
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Legal Business Name | QUALITY 1 HOME CARE LLC
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Dates
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Enumeration Date | 02/11/2025
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Last Update Date | 02/11/2025
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Provider Practice Location Address
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Address Line | 101 SANCTUARY LN
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City | COLUMBIANA
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State | AL
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Zip | 35051-5435
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Country | US
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Telephone | 205-259-6245
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Fax |
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Provider Business Mailing Address
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Address Line | 35917 LISBON DUNGANNON RD
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City | LISBON
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State | OH
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Zip | 44432-9757
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Country | US
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Telephone | 619-333-8368
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Fax |
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Authorized Official
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Title or Position | OWNER/CEO
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Name | ALEX KEITH BACON
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Credential |
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Telephone | 205-259-6245
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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 |
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