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General NPI Number Information
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NPI Number | 1386581684
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Entity Type | Organization
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Legal Business Name | LAVISH ROYALTY HOME CARE OH LLC
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Dates
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Enumeration Date | 05/04/2026
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Last Update Date | 05/04/2026
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Provider Practice Location Address
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Address Line | 600 SUPERIOR AVE STE 1300
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City | CLEVELAND
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State | OH
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Zip | 44114-2654
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Country | US
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Telephone | 574-971-1610
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Fax |
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Provider Business Mailing Address
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Address Line | 850 EUCLID AVE STE 819
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City | CLEVELAND
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State | OH
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Zip | 44114-3315
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KAEISHA MURDOCK
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Credential |
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Telephone | 574-971-1610
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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 |
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