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General NPI Number Information
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NPI Number | 1306373311
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Entity Type | Organization
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Legal Business Name | FAMILY AFFAIR HOME HEALTHCARE LLC
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Dates
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Enumeration Date | 05/22/2017
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Last Update Date | 05/22/2017
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Provider Practice Location Address
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Address Line | 919 S KINGSHIGHWAY ST
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City | SIKESTON
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State | MO
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Zip | 63801-4415
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Country | US
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Telephone | 855-275-2008
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Fax | 855-274-4559
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Provider Business Mailing Address
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Address Line | 9117 MARYMARK LN
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City | SAINT LOUIS
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State | MO
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Zip | 63134-2601
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Country | US
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Telephone | 314-441-0104
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Fax |
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Authorized Official
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Title or Position | OWNER/CEO
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Name | SHARAELA RIGGENS
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Credential |
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Telephone | 844-275-2008
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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