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General NPI Number Information
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NPI Number | 1457699399
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Entity Type | Organization
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Legal Business Name | HOME SWEET HOME IN HOME SERVICES
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Dates
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Enumeration Date | 01/28/2013
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Last Update Date | 07/07/2016
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Provider Practice Location Address
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Address Line | 440 CLOVERLEAF RD
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City | ELIZABETHTOWN
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State | PA
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Zip | 17022-9320
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Country | US
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Telephone | 717-361-2455
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Fax | 717-361-2454
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Provider Business Mailing Address
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Address Line | 616 RESERVOIR RD
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City | GARDNERS
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State | PA
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Zip | 17324-9523
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Country | US
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Telephone | 717-677-7915
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Fax |
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Authorized Official
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Title or Position | OWNER/EXECUTIVE DIRECTOR
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Name | MR. ANTHONY CHARLES AUSTIN JR.
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Credential |
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Telephone | 717-361-2455
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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 | 18393601
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License Number State | PA
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