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General NPI Number Information
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NPI Number | 1245930635
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Entity Type | Organization
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Legal Business Name | LORETTA'S HELPING HANDS
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Dates
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Enumeration Date | 03/06/2023
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Last Update Date | 03/06/2023
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Provider Practice Location Address
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Address Line | 5211 FLEET AVE
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City | CLEVELAND
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State | OH
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Zip | 44105-3333
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Country | US
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Telephone | 216-623-7959
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Fax |
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Provider Business Mailing Address
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Address Line | 3871 E 53RD ST
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City | CLEVELAND
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State | OH
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Zip | 44105-3317
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Country | US
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Telephone | 216-623-7959
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | SHALONDA PUGH
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Credential |
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Telephone | 216-623-7959
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174200000X
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Taxonomy Name | Meals Provider
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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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Taxonomy #3
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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