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General NPI Number Information
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NPI Number | 1437994191
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Entity Type | Organization
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Legal Business Name | GRACE HOPE & LOVE HOMECARE
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Dates
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Enumeration Date | 06/26/2024
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Last Update Date | 06/26/2024
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Provider Practice Location Address
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Address Line | 140 STONERIDGE DR UNIT 452
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City | COLUMBIA
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State | SC
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Zip | 29210-8200
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Country | US
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Telephone | 803-553-7190
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Fax |
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Provider Business Mailing Address
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Address Line | 301 HUNTERS MILL DR
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City | WEST COLUMBIA
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State | SC
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Zip | 29170-1282
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Country | US
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Telephone | 803-553-7190
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | PATRICIA GOETHE
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Credential |
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Telephone | 803-553-7190
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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