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General NPI Number Information
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NPI Number | 1376932665
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Entity Type | Organization
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Legal Business Name | ATTENTIVE RESIDENTIAL CARE, LLC
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Dates
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Enumeration Date | 01/09/2015
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Last Update Date | 01/09/2015
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Provider Practice Location Address
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Address Line | 7678 QUARTERFIELD RD SUITE 203
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City | GLEN BURNIE
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State | MD
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Zip | 21061-7069
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Country | US
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Telephone | 410-760-8906
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Fax |
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Provider Business Mailing Address
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Address Line | 7678 QUARTERFIELD RD SUITE 203
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City | GLEN BURNIE
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State | MD
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Zip | 21061-7069
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Country | US
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Telephone | 410-760-8906
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Fax |
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Authorized Official
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Title or Position | PRESIDENT AND MANAGING MEMBER
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Name | MR. MAURY JACK SAVAGE JR.
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Credential |
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Telephone | 703-201-2485
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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 | R3730
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License Number State | MD
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