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General NPI Number Information
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NPI Number | 1477075471
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Entity Type | Organization
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Legal Business Name | MANCHESTER HOME HEALTHCARE LLC.
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Dates
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Enumeration Date | 07/11/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 14390 MANCHESTER RD STE 201
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City | MANCHESTER
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State | MO
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Zip | 63011-4047
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Country | US
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Telephone | 314-277-8987
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Fax |
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Provider Business Mailing Address
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Address Line | 14390 MANCHESTER RD STE 201
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City | MANCHESTER
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State | MO
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Zip | 63011-4047
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Country | US
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Telephone | 314-277-8987
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ALBERT ATOYAN
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Credential |
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Telephone | 314-277-8987
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 372600000X
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Taxonomy Name | Adult Companion
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License Number | LC00154499
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License Number State | MT
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Taxonomy #2
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number | LC00154499
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number | LC00154499
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License Number State | MO
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Taxonomy #4
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number | LC00154499
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License Number State | MO
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