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General NPI Number Information
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NPI Number | 1275285181
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Entity Type | Organization
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Legal Business Name | ABLE HOME CARE, INC.
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Dates
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Enumeration Date | 01/21/2022
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Last Update Date | 01/21/2022
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Provider Practice Location Address
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Address Line | 751 S WASHINGTON AVE
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City | TITUSVILLE
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State | FL
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Zip | 32780-4231
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Country | US
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Telephone | 407-463-4699
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Fax | 321-607-6723
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Provider Business Mailing Address
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Address Line | 751 S WASHINGTON AVE
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City | TITUSVILLE
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State | FL
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Zip | 32780-4231
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Country | US
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Telephone | 407-463-4699
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Fax | 321-607-6723
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | MRS. JESSICA ILENE O'FLAHERTY
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Credential |
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Telephone | 407-463-4699
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385HR2060X
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Taxonomy Name | Child Intellectual and/or Developmental Disabilities Respite Care
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License Number |
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License Number State |
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