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General NPI Number Information
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NPI Number | 1437131836
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Entity Type | Organization
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Legal Business Name | COMMUNITY CHOICE HOME CARE, INC.
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Dates
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Enumeration Date | 11/19/2005
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Last Update Date | 11/14/2024
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Provider Practice Location Address
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Address Line | 7318 OHIO RIVER RD
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City | PORTSMOUTH
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State | OH
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Zip | 45662-5665
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Country | US
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Telephone | 740-574-9900
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Fax | 740-574-9064
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Provider Business Mailing Address
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Address Line | PO BOX 148
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City | WHEELERSBURG
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State | OH
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Zip | 45694-0148
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Country | US
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Telephone | 740-574-9900
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Fax | 740-574-9064
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | LESLIE J. JEWELL
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Credential | MSN, RN
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Telephone | 740-574-9900
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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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