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General NPI Number Information
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NPI Number | 1396442760
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Entity Type | Organization
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Legal Business Name | KEY TO THE HEART, LLC
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Dates
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Enumeration Date | 02/15/2023
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Last Update Date | 02/15/2023
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Provider Practice Location Address
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Address Line | 2818B HIGHWAY 71
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City | MARIANNA
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State | FL
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Zip | 32446-1835
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Country | US
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Telephone | 850-693-6742
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Fax |
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Provider Business Mailing Address
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Address Line | 2981 CHASE WAY
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City | MARIANNA
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State | FL
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Zip | 32446-6459
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Country | US
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Telephone | 850-693-6742
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LOVELY KEYS
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Credential |
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Telephone | 850-693-6742
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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Taxonomy #3
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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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Taxonomy #4
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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