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General NPI Number Information
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NPI Number | 1295982262
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Entity Type | Organization
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Legal Business Name | HOME SWEET HOME OF AMERICA
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Dates
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Enumeration Date | 08/21/2008
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Last Update Date | 08/21/2008
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Provider Practice Location Address
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Address Line | 16111 JULIE LN
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City | LAUREL
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State | MD
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Zip | 20707-2787
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Country | US
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Telephone | 240-350-3015
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Fax |
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Provider Business Mailing Address
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Address Line | 9398 CANTERBURY RIDING
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City | LAUREL
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State | MD
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Zip | 20723-1449
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Country | US
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Telephone | 240-350-3015
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MRS. KATIA TOUSSAINT COLEY
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Credential |
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Telephone | 240-350-3015
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | 0605008
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | 16AL0909-A
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License Number State | MD
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