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General NPI Number Information
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NPI Number | 1215738745
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Entity Type | Organization
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Legal Business Name | KU4LOVE HOME HEALTH LLC
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Dates
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Enumeration Date | 03/21/2025
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Last Update Date | 03/21/2025
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Provider Practice Location Address
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Address Line | 21854 DENTON AVE
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City | FARMINGTON
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State | MN
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Zip | 55024-6012
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Country | US
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Telephone | 612-458-7768
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Fax |
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Provider Business Mailing Address
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Address Line | 21854 DENTON AVE
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City | FARMINGTON
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State | MN
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Zip | 55024-6012
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Country | US
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Telephone | 612-458-7768
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Fax |
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Authorized Official
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Title or Position | LICENSED PRACTICAL NURSE
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Name | LONGCHI NDONGLA KUFOR
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Credential | LPN
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Telephone | 612-458-7768
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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Taxonomy #2
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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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Taxonomy #3
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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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