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General NPI Number Information
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NPI Number | 1215800974
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Entity Type | Organization
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Legal Business Name | MONARCH LANE ENTERPRISES LLC
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Dates
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Enumeration Date | 09/27/2025
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Last Update Date | 09/27/2025
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Provider Practice Location Address
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Address Line | 5258 LAYTON DR
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City | VENICE
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State | FL
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Zip | 34293-8821
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Country | US
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Telephone | 401-752-4178
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Fax |
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Provider Business Mailing Address
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Address Line | 5258 LAYTON DR
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City | VENICE
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State | FL
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Zip | 34293-8821
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Country | US
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Telephone | 401-752-4178
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MELISSA REILLY
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Credential | MS,PT
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Telephone | 401-742-4168
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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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