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General NPI Number Information
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NPI Number | 1407864960
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Entity Type | Organization
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Legal Business Name | LIFECARE HOME NURSING LLC
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Dates
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Enumeration Date | 08/03/2006
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Last Update Date | 05/01/2025
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Provider Practice Location Address
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Address Line | 911 W LOOP 281 SUITE 204
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City | LONGVIEW
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State | TX
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Zip | 75604
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Country | US
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Telephone | 903-297-9300
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Fax | 903-297-7020
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Provider Business Mailing Address
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Address Line | 911 W LOOP 281 SUITE 204
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City | LONGVIEW
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State | TX
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Zip | 75604
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Country | US
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Telephone | 903-297-9300
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Fax | 903-297-7020
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | AMY LYNETTE WILCOX
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Credential |
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Telephone | 903-297-9300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number | 003475
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License Number State | TX
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Taxonomy #2
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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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