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General NPI Number Information
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NPI Number | 1265969034
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Entity Type | Organization
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Legal Business Name | ANGEL'S HOME CARE
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Dates
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Enumeration Date | 05/11/2017
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Last Update Date | 03/11/2022
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Provider Practice Location Address
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Address Line | 4440 STATE ROUTE 61
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City | MOUNT GILEAD
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State | OH
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Zip | 43338-9781
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Country | US
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Telephone | 419-947-9373
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Fax | 419-947-9374
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Provider Business Mailing Address
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Address Line | 4440 STATE ROUTE 61
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City | MOUNT GILEAD
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State | OH
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Zip | 43338-9781
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Country | US
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Telephone | 419-947-9373
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Fax | 419-947-9374
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Authorized Official
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Title or Position | CEO
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Name | MARY ECKARD
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Credential |
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Telephone | 419-947-9373
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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 | OH
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