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General NPI Number Information
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NPI Number | 1245894088
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Entity Type | Organization
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Legal Business Name | LUCY'S HOME CARE EXPRESS, INC
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Dates
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Enumeration Date | 04/26/2019
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Last Update Date | 07/30/2021
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Provider Practice Location Address
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Address Line | 2424 GRAND AVE
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City | WAUKEGAN
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State | IL
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Zip | 60085-3315
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Country | US
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Telephone | 847-599-8181
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Fax | 847-672-8943
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Provider Business Mailing Address
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Address Line | 2424 GRAND AVE STE 2
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City | WAUKEGAN
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State | IL
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Zip | 60085-3315
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Country | US
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Telephone | 847-599-8181
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Fax | 847-672-8943
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Authorized Official
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Title or Position | CEO/ADMINISTRATOR
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Name | LUCILIA RIOS
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Credential | CSCM,CDP
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Telephone | 847-599-8181
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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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 | 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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