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General NPI Number Information
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NPI Number | 1407062490
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Entity Type | Organization
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Legal Business Name | LIFE CARE HOME HEALTH SERVICES LLC
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Dates
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Enumeration Date | 05/15/2007
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Last Update Date | 07/20/2010
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Provider Practice Location Address
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Address Line | 445 DOUGLAS AVE STE 1005
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32714-2516
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Country | US
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Telephone | 407-682-3240
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Fax | 407-682-3763
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Provider Business Mailing Address
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Address Line | 445 DOUGLAS AVE STE 1005
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32714-2516
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Country | US
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Telephone | 407-682-3240
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Fax | 407-682-3763
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Authorized Official
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Title or Position | SENIOR DIRECTOR
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Name | JAMES W EYER
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Credential |
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Telephone | 561-272-5866
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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 | 20647096
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License Number State | FL
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