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General NPI Number Information
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NPI Number | 1316282320
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Entity Type | Organization
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Legal Business Name | RETRO HOME HEALTH CARE SERVICES, INC.
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Dates
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Enumeration Date | 12/02/2012
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Last Update Date | 12/02/2012
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Provider Practice Location Address
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Address Line | 1715 N SHADELAND AVE SUITE A
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City | INDIANAPOLIS
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State | IN
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Zip | 46219-2733
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Country | US
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Telephone | 317-869-0981
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Fax | 888-449-2412
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Provider Business Mailing Address
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Address Line | 1715 N SHADELAND AVE SUITE A
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City | INDIANAPOLIS
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State | IN
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Zip | 46219-2733
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Country | US
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Telephone | 317-869-0981
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Fax | 888-449-2412
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Authorized Official
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Title or Position | CEO-OWNER
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Name | MS. MICHELLE ANDREA CHERRY
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Credential |
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Telephone | 317-270-7117
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 130115571
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License Number State | IN
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