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NPI 1396630638

NPI 1396630638 : DELIVERING LOVE & CARE AGENCY LLC : BLACK JACK, MO

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General NPI Number Information
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    NPI Number           |    1396630638
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    Entity Type          |    Organization 
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    Legal Business Name  |    DELIVERING LOVE & CARE AGENCY LLC 
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Dates
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    Enumeration Date     |    06/09/2025
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    Last Update Date     |    06/09/2025
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Provider Practice Location Address
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    Address Line         |    13121 TREES EDGE CT 
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    City                 |    BLACK JACK
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    State                |    MO
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    Zip                  |    63033-4571
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    Country              |    US
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    Telephone            |    314-585-1680
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    Fax                  |    314-585-1680
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Provider Business Mailing Address
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    Address Line         |    13121 TREES EDGE CT 
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    City                 |    BLACK JACK
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    State                |    MO
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    Zip                  |    63033-4571
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    Country              |    US
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    Telephone            |    314-585-1680
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    Fax                  |    314-585-1680
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    MS. LAQUITA L HARRIS 
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    Credential           |    
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    Telephone            |    314-585-1680
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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       |    
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    License Number State |    
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