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General NPI Number Information
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NPI Number | 1275168395
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Entity Type | Organization
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Legal Business Name | ACCOLADE HEALTH CARE SERVICES LLC
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Dates
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Enumeration Date | 03/09/2020
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Last Update Date | 11/27/2023
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Provider Practice Location Address
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Address Line | 5861 SIR HENRY RD
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City | ORLANDO
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State | FL
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Zip | 32808-3320
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Country | US
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Telephone | 407-781-7804
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Fax | 888-363-6121
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Provider Business Mailing Address
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Address Line | 5861 SIR HENRY RD
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City | ORLANDO
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State | FL
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Zip | 32808-3320
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Country | US
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Telephone | 407-781-7804
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Fax | 888-363-6121
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Authorized Official
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Title or Position | CEO
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Name | ELSA LEWIS-ANDERSON
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Credential |
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Telephone | 407-969-0208
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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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 | 3104A0630X
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Taxonomy Name | Assisted Living Facility (Behavioral Disturbances)
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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 | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #4
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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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Taxonomy #5
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State |
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