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General NPI Number Information
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NPI Number | 1447591144
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Entity Type | Organization
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Legal Business Name | LIGHT HOMEMAKER AND COMPANION SERVICES LLC
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Dates
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Enumeration Date | 03/06/2013
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Last Update Date | 07/11/2014
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Provider Practice Location Address
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Address Line | 801 INTERNATIONAL PKWY SUITE 500
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City | LAKE MARY
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State | FL
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Zip | 32746-4762
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Country | US
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Telephone | 407-562-1331
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Fax | 407-585-2041
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Provider Business Mailing Address
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Address Line | 801 INTERNATIONAL PKWY SUITE 500
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City | LAKE MARY
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State | FL
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Zip | 32746-4762
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Country | US
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Telephone | 407-562-1331
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Fax | 407-585-2041
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | ODETTE CONSTANT
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Credential |
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Telephone | 407-562-1331
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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 | 233619
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License Number State | FL
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