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General NPI Number Information
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NPI Number | 1467167577
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Entity Type | Organization
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Legal Business Name | PROMIZE HOME AND HEALTH CARE LLC
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Dates
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Enumeration Date | 01/23/2023
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Last Update Date | 01/23/2023
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Provider Practice Location Address
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Address Line | 1812 EDENWALD LN
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City | LANCASTER
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State | PA
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Zip | 17601-5031
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Country | US
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Telephone | 646-244-0117
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Fax |
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Provider Business Mailing Address
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Address Line | 1812 EDENWALD LN
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City | LANCASTER
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State | PA
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Zip | 17601-5031
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Country | US
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Telephone | 646-244-0117
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | GRACE AJEMBA
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Credential |
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Telephone | 646-244-0117
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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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Taxonomy #2
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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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