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General NPI Number Information
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NPI Number | 1407992985
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Entity Type | Organization
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Legal Business Name | ALLAY HOME AND HOSPICE, INC.
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Dates
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Enumeration Date | 01/30/2007
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Last Update Date | 04/26/2022
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Provider Practice Location Address
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Address Line | 325 N. CORPORATE DR. SUITE 260
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City | BROOKFIELD
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State | WI
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Zip | 53045
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Country | US
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Telephone | 262-787-2980
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Fax | 262-787-2981
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Provider Business Mailing Address
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Address Line | 325 N. CORPORATE DR. SUITE 260
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City | BROOKFIELD
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State | WI
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Zip | 53045
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Country | US
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Telephone | 262-787-2980
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Fax | 262-787-2981
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Authorized Official
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Title or Position | SECRETARY
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Name | KEVIN MCDANIEL
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Credential |
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Telephone | 256-810-1079
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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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Taxonomy #2
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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