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General NPI Number Information
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NPI Number | 1245920024
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Entity Type | Organization
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Legal Business Name | CITADEL OF HOPE HOME HEALTH CARE INC.
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Dates
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Enumeration Date | 05/15/2023
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Last Update Date | 05/15/2023
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Provider Practice Location Address
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Address Line | 6223 N ALBANY AVE
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City | CHICAGO
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State | IL
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Zip | 60659-1481
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Country | US
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Telephone | 773-986-1546
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Fax |
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Provider Business Mailing Address
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Address Line | 6223 N ALBANY AVE
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City | CHICAGO
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State | IL
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Zip | 60659-1481
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Country | US
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Telephone | 773-986-1546
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MISS LORETTA C ARMSTRONG
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Credential |
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Telephone | 773-986-1546
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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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