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General NPI Number Information
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NPI Number | 1255287645
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Entity Type | Organization
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Legal Business Name | VETLIFE SENIOR CARE
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Dates
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Enumeration Date | 03/09/2026
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Last Update Date | 03/09/2026
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Provider Practice Location Address
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Address Line | 117 S LEXINGTON ST STE 100
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City | HARRISONVILLE
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State | MO
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Zip | 64701-2443
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Country | US
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Telephone | 573-274-1333
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Fax |
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Provider Business Mailing Address
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Address Line | 911 WITT ST
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City | JONESBORO
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State | AR
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Zip | 72401-3542
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | INDIA LOVONNA PATTON
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Credential | PATTON
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Telephone | 870-586-3482
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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