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General NPI Number Information
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NPI Number | 1457545741
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Entity Type | Organization
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Legal Business Name | HENRY COUNTY SENIOR CENTER
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Dates
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Enumeration Date | 08/30/2007
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Last Update Date | 11/26/2024
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Provider Practice Location Address
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Address Line | 203 ROHRS AVE
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City | NAPOLEON
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State | OH
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Zip | 43545
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Country | US
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Telephone | 419-599-5515
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Fax | 419-599-5525
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Provider Business Mailing Address
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Address Line | 203 ROHRS AVE
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City | NAPOLEON
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State | OH
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Zip | 43545-2145
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Country | US
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Telephone | 419-599-5155
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Fax | 419-599-5525
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | PENNI BOSTELMAN
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Credential |
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Telephone | 419-599-5515
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174200000X
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Taxonomy Name | Meals Provider
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332U00000X
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Taxonomy Name | Home Delivered Meals
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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