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General NPI Number Information
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NPI Number | 1306652912
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Entity Type | Organization
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Legal Business Name | SEGO CARE & SERVICES LLC
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Dates
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Enumeration Date | 12/09/2024
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Last Update Date | 12/09/2024
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Provider Practice Location Address
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Address Line | 855 HERITAGE WAY
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City | MT WASHINGTON
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State | KY
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Zip | 40047-6332
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Country | US
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Telephone | 502-526-6514
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Fax |
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Provider Business Mailing Address
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Address Line | 565 SUNRAY DR
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City | SHEPHERDSVILLE
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State | KY
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Zip | 40165-5627
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Country | US
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Telephone | 502-221-5657
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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 | BRENT SEGO
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Credential | MBA, PMP, CSM
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Telephone | 502-221-5657
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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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