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General NPI Number Information
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NPI Number | 1396152542
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Entity Type | Organization
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Legal Business Name | NO PLACE LIKE HOME LLC
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Dates
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Enumeration Date | 07/21/2014
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Last Update Date | 07/21/2014
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Provider Practice Location Address
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Address Line | 402 W PULASKI HWY
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City | ELKTON
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State | MD
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Zip | 21921-5200
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Country | US
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Telephone | 443-406-7963
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Fax |
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Provider Business Mailing Address
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Address Line | 402 W PULASKI HWY
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City | ELKTON
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State | MD
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Zip | 21921-5200
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Country | US
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Telephone | 443-406-7963
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MARY MARLENE GROVE
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Credential |
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Telephone | 443-406-7963
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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 | 111101
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 111002
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License Number State | MD
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