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General NPI Number Information
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NPI Number | 1497188015
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Entity Type | Organization
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Legal Business Name | R S INDEPENDENT HOME HEALTH CARE LLC
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Dates
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Enumeration Date | 08/19/2013
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Last Update Date | 08/19/2013
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Provider Practice Location Address
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Address Line | 2903 REARDON DR
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City | JOLIET
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State | IL
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Zip | 60435-5292
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Country | US
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Telephone | 815-729-3104
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Fax | 815-207-7551
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Provider Business Mailing Address
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Address Line | 2903 REARDON DR
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City | JOLIET
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State | IL
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Zip | 60435-5292
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Country | US
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Telephone | 815-729-3104
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Fax | 815-207-7551
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Authorized Official
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Title or Position | CEO/FOUNDER
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Name | MRS. RENA R WILLIAMS
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Credential |
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Telephone | 815-729-3104
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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 | 3001014
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License Number State | IL
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