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General NPI Number Information
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NPI Number | 1417362005
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Entity Type | Organization
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Legal Business Name | STAY IN HOME CARE, INC.
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Dates
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Enumeration Date | 06/23/2014
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Last Update Date | 06/23/2014
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Provider Practice Location Address
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Address Line | 1420 400TH ST
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City | ROYAL
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State | IA
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Zip | 51357-7541
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Country | US
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Telephone | 712-346-7019
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Fax | 712-933-2595
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Provider Business Mailing Address
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Address Line | 1420 400TH ST PO BOX 154
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City | ROYAL
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State | IA
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Zip | 51357-7541
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Country | US
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Telephone | 712-346-7019
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Fax | 712-933-2595
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Authorized Official
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Title or Position | PRESIDENT
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Name | ALLIE MCCARTY
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Credential | LNHA
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Telephone | 712-346-7019
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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 | 002572
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License Number State | IA
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