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General NPI Number Information
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NPI Number | 1215414974
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Entity Type | Organization
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Legal Business Name | REAL LOVING CARE HOME CARE LLC
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Dates
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Enumeration Date | 07/25/2018
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Last Update Date | 11/09/2020
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Provider Practice Location Address
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Address Line | 29 JACKSON ST
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City | HUBBARD
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State | OH
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Zip | 44425-1773
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Country | US
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Telephone | 330-568-4098
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Fax | 330-534-4495
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Provider Business Mailing Address
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Address Line | 29 JACKSON ST
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City | HUBBARD
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State | OH
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Zip | 44425-1773
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Country | US
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Telephone | 330-534-4284
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Fax | 330-534-4495
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Authorized Official
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Title or Position | OWNER
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Name | ANISSA GAY LEWIS
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Credential | LPN
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Telephone | 330-568-4098
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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 |
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