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General NPI Number Information
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NPI Number | 1386148203
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Entity Type | Organization
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Legal Business Name | HOME SWEET HOME HEALTH CARE AGENCY, LLC
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Dates
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Enumeration Date | 03/23/2018
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Last Update Date | 03/23/2018
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Provider Practice Location Address
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Address Line | 464 GODFREY ST
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City | BETHEL
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State | PA
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Zip | 19507
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Country | US
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Telephone | 484-650-8260
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Fax |
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Provider Business Mailing Address
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Address Line | 464 GODFREY ST
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City | BETHEL
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State | PA
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Zip | 19507
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Country | US
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Telephone | 484-650-8260
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Fax |
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | MRS. MELANIE ANN LASH
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Credential |
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Telephone | 484-650-8260
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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 | 35813601
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License Number State | PA
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