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General NPI Number Information
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NPI Number | 1316558398
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Entity Type | Organization
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Legal Business Name | SAFE HAVEN HOME HEALTHCARE LLC
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Dates
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Enumeration Date | 08/12/2020
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Last Update Date | 08/12/2020
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Provider Practice Location Address
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Address Line | 609 BELLEVUE RD N
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City | NASHVILLE
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State | TN
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Zip | 37221-3430
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Country | US
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Telephone | 414-412-9153
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Fax |
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Provider Business Mailing Address
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Address Line | 609 BELLEVUE RD N
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City | NASHVILLE
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State | TN
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Zip | 37221-3430
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Country | US
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Telephone | 414-412-9153
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Fax |
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Authorized Official
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Title or Position | HEALTHCARE ADMIN
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Name | MR. JON'TEZE COLEMAN SR.
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Credential |
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Telephone | 720-757-0053
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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 |
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License Number State |
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