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General NPI Number Information
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NPI Number | 1487993515
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Entity Type | Organization
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Legal Business Name | MISSION IN HOME HEALTH CARE, LLC
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Dates
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Enumeration Date | 02/08/2013
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Last Update Date | 02/08/2013
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Provider Practice Location Address
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Address Line | 190 W BECKS MILL RD STE F
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City | SALEM
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State | IN
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Zip | 47167-6942
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Country | US
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Telephone | 812-586-0436
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Fax | 812-586-0437
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Provider Business Mailing Address
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Address Line | 190 W BECKS MILL RD STE F
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City | SALEM
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State | IN
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Zip | 47167-6942
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Country | US
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Telephone | 812-586-0436
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Fax | 812-586-0437
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Authorized Official
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Title or Position | OWNER/CEO
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Name | MRS. DIANA MARIE ENGLAND
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Credential |
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Telephone | 812-586-0436
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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 | 13-013112-1
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License Number State | IN
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