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General NPI Number Information
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NPI Number | 1366480089
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Entity Type | Organization
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Legal Business Name | MINISTRY HOME CARE, LLC.
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Dates
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Enumeration Date | 06/03/2006
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Last Update Date | 09/14/2021
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Provider Practice Location Address
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Address Line | 111 E DAVENPORT ST STE 101
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City | RHINELANDER
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State | WI
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Zip | 54501-3404
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Country | US
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Telephone | 715-301-7210
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Fax | 844-887-0049
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Provider Business Mailing Address
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Address Line | 111 E DAVENPORT ST STE 101
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City | RHINELANDER
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State | WI
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Zip | 54501-3404
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Country | US
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Telephone | 715-301-7210
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Fax | 844-887-0049
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Authorized Official
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Title or Position | SVP CHIEF LEGAL OFFICER
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Name | RUSSELL ADKINS
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Credential |
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Telephone | 615-309-5668
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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 | 253
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License Number State | WI
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