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General NPI Number Information
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NPI Number | 1366732588
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Entity Type | Organization
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Legal Business Name | TSK ASSISTED LIVING SERVICES, INC,
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Dates
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Enumeration Date | 04/08/2011
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Last Update Date | 06/10/2024
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Provider Practice Location Address
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Address Line | 240 W RIDDLE AVE
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City | RAVENNA
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State | OH
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Zip | 44266-2949
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Country | US
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Telephone | 330-297-2000
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Fax | 330-297-1896
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Provider Business Mailing Address
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Address Line | 240 W RIDDLE AVE
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City | RAVENNA
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State | OH
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Zip | 44266-2949
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Country | US
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Telephone | 330-297-2000
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Fax | 330-297-1896
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Authorized Official
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Title or Position | PRESIDENT
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Name | SCOTT P. BALL
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Credential |
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Telephone | 330-297-2000
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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 |
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License Number State | OH
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