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General NPI Number Information
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NPI Number | 1265011795
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Entity Type | Organization
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Legal Business Name | HEALTHY ADULT DAY HEALTHCARE, LLC
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Dates
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Enumeration Date | 04/02/2021
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Last Update Date | 01/25/2023
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Provider Practice Location Address
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Address Line | 1624 BURLINGTON PIKE
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City | FLORENCE
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State | KY
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Zip | 41042-4908
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Country | US
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Telephone | 513-765-0768
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Fax |
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Provider Business Mailing Address
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Address Line | 3418 FEBRUARY DR
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City | CINCINNATI
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State | OH
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Zip | 45239-5439
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Country | US
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Telephone | 151-376-5076
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LEE KUIKEL
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Credential |
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Telephone | 513-765-0768
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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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 | 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 #3
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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