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General NPI Number Information
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NPI Number | 1255199881
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Entity Type | Organization
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Legal Business Name | LOVE FOR LIFE HOMECARE LLC
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Dates
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Enumeration Date | 03/08/2024
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Last Update Date | 05/21/2024
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Provider Practice Location Address
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Address Line | 45 E CITY AVE STE 1584
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City | BALA CYNWYD
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State | PA
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Zip | 19004-2421
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Country | US
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Telephone | 267-408-5198
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Fax |
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Provider Business Mailing Address
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Address Line | 5832 W GIRARD AVE
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City | PHILA
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State | PA
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Zip | 19131-4851
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Country | US
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Telephone | 267-408-5198
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SANDRA SLAUGHTER
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Credential |
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Telephone | 267-408-5198
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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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