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General NPI Number Information
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NPI Number | 1356469688
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Entity Type | Organization
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Legal Business Name | SISTER'S HOME HEALTH SERVICES INC.
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Dates
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Enumeration Date | 03/26/2007
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Last Update Date | 05/05/2017
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Provider Practice Location Address
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Address Line | 1214 E STATE ST
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City | ROCKFORD
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State | IL
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Zip | 61104-2230
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Country | US
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Telephone | 815-961-2170
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Fax | 815-961-1337
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Provider Business Mailing Address
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Address Line | 1214 E STATE ST
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City | ROCKFORD
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State | IL
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Zip | 61104-2230
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Country | US
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Telephone | 815-961-2170
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Fax | 815-961-1337
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Authorized Official
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Title or Position | PRES.
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Name | MS. KATIE M BLAKE
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Credential | R.N.
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Telephone | 815-961-2170
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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 | 1010114
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License Number State | IL
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