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General NPI Number Information
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NPI Number | 1417844044
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Entity Type | Organization
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Legal Business Name | SOUTHWEST GENERAL HOME HEALTH LLC
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Dates
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Enumeration Date | 06/18/2025
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Last Update Date | 06/18/2025
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Provider Practice Location Address
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Address Line | 22021 BROOKPARK RD STE 122
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City | FAIRVIEW PARK
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State | OH
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Zip | 44126-3100
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Country | US
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Telephone | 216-861-7422
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Fax |
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Provider Business Mailing Address
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Address Line | 1050 FORRER BLVD
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City | KETTERING
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State | OH
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Zip | 45420-3640
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Country | US
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Telephone | 937-299-1111
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | EVERETT NEAL
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Credential |
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Telephone | 937-299-1111
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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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