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General NPI Number Information
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NPI Number | 1427389154
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Entity Type | Organization
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Legal Business Name | ELITE HOME NURSING SERVICES, LLC
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Dates
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Enumeration Date | 01/20/2010
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Last Update Date | 10/11/2024
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Provider Practice Location Address
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Address Line | 36291 STATE ROUTE 7
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City | POMEROY
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State | OH
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Zip | 45769-0000
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Country | US
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Telephone | 740-416-7972
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Fax |
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Provider Business Mailing Address
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Address Line | 36291 STATE ROUTE 7
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City | POMEROY
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State | OH
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Zip | 45769
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Country | US
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Telephone | 740-416-7972
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | EDDENA JO ROBERTS
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Credential | RN
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Telephone | 740-416-1640
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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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