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General NPI Number Information
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NPI Number | 1487828968
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Entity Type | Organization
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Legal Business Name | ASSISTING ANGELS HOME CARE, INC.
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Dates
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Enumeration Date | 04/16/2008
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Last Update Date | 02/23/2010
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Provider Practice Location Address
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Address Line | 999 FEDERAL WAY SUITE 6
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City | BOISE
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State | ID
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Zip | 83705
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Country | US
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Telephone | 208-344-7979
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Fax | 866-614-3143
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Provider Business Mailing Address
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Address Line | 999 FEDERAL WAY SUITE 6
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City | BOISE
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State | ID
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Zip | 83705
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Country | US
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Telephone | 208-344-7979
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Fax | 866-614-3143
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MRS. BRENDA S. CRITELL
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Credential |
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Telephone | 208-344-7979
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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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