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General NPI Number Information
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NPI Number | 1336454164
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Entity Type | Organization
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Legal Business Name | HOLY MARY HOMEHEALTH CARE INC
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Dates
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Enumeration Date | 08/17/2010
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Last Update Date | 12/06/2023
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Provider Practice Location Address
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Address Line | 1540 E DUNDEE RD STE 108
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City | PALATINE
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State | IL
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Zip | 60074-8316
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Country | US
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Telephone | 708-867-8405
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Fax | 708-867-8406
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Provider Business Mailing Address
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Address Line | 1540 E DUNDEE RD STE 108
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City | PALATINE
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State | IL
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Zip | 60074-8316
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Country | US
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Telephone | 708-867-8405
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Fax | 708-867-8406
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | DANIELLE D RAJOO
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Credential | MHA, MHI
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Telephone | 708-867-8405
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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 | 1011281
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License Number State | IL
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