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General NPI Number Information
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NPI Number | 1255867024
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Entity Type | Organization
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Legal Business Name | GIVING HOUSE OF LIFE HOME HEALTH CARE LLC
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Dates
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Enumeration Date | 05/11/2017
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Last Update Date | 06/30/2023
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Provider Practice Location Address
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Address Line | 1515 N WARSON RD STE 297
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City | SAINT LOUIS
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State | MO
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Zip | 63132-1110
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Country | US
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Telephone | 314-665-9134
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Fax | 314-985-5899
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Provider Business Mailing Address
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Address Line | 1991 SHOREHAM DR
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City | FLORISSANT
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State | MO
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Zip | 63033-1235
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Country | US
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Telephone | 314-665-9134
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Fax | 773-496-7068
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Authorized Official
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Title or Position | OWNER/CEO/PRESIDENT
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Name | MS. EBONY S WASHINGTON
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Credential |
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Telephone | 314-665-9134
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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 | 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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