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NPI 1477835577

NPI 1477835577 : STAY IN HOME CARE, LLC : ROYAL, IA

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General NPI Number Information
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    NPI Number           |    1477835577
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    Entity Type          |    Organization 
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    Legal Business Name  |    STAY IN HOME CARE, LLC 
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Dates
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    Enumeration Date     |    09/14/2011
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    Last Update Date     |    09/14/2011
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Provider Practice Location Address
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    Address Line         |    1420 400TH ST 
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    City                 |    ROYAL
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    State                |    IA
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    Zip                  |    51357-7541
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    Country              |    US
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    Telephone            |    712-346-7019
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1420 400TH ST 
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    City                 |    ROYAL
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    State                |    IA
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    Zip                  |    51357-7541
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    Country              |    US
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    Telephone            |    712-346-7019
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    Fax                  |    
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Authorized Official
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    Title or Position    |    LICENSED NURSING HOME ADMINISTATOR
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    Name                 |     ALLIE J MCCARTY 
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    Credential           |    
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    Telephone            |    712-346-7019
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251J00000X
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    Taxonomy Name        |    Nursing Care 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        |    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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