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General NPI Number Information
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NPI Number | 1356664650
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Entity Type | Organization
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Legal Business Name | SIENNA HOME CARE, INC.
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Dates
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Enumeration Date | 03/01/2010
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Last Update Date | 03/01/2010
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Provider Practice Location Address
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Address Line | 348 S RICHARD CT
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City | VERNON HILLS
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State | IL
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Zip | 60061-2657
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Country | US
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Telephone | 847-680-1992
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Fax | 866-680-2199
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Provider Business Mailing Address
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Address Line | 348 S RICHARD CT
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City | VERNON HILLS
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State | IL
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Zip | 60061-2657
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Country | US
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Telephone | 847-680-1992
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Fax | 866-680-2199
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Authorized Official
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Title or Position | PRESIDENT
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Name | LORA MANTELMAN
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Credential | RN
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Telephone | 847-680-1992
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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 | 3000602
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 4000294
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License Number State | IL
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