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General NPI Number Information
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NPI Number | 1285094763
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Entity Type | Organization
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Legal Business Name | HOME4LIFE HOME CARE SOLUTIONS, LLC
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Dates
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Enumeration Date | 02/26/2016
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Last Update Date | 06/11/2019
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Provider Practice Location Address
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Address Line | 10716 NEW HALLS FERRY RD
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City | SAINT LOUIS
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State | MO
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Zip | 63136-4431
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Country | US
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Telephone | 314-797-8598
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Fax | 314-797-8008
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Provider Business Mailing Address
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Address Line | 10716 NEW HALLS FERRY RD
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City | SAINT LOUIS
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State | MO
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Zip | 63136-4431
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Country | US
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Telephone | 314-797-8598
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Fax | 314-797-8008
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Authorized Official
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Title or Position | OWNER
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Name | AIGNER MILES
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Credential |
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Telephone | 314-797-8598
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 372500000X
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Taxonomy Name | Chore Provider
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License Number | 0016986
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License Number State | MO
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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 | 0016986
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License Number State | MO
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