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General NPI Number Information
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NPI Number | 1497393367
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Entity Type | Organization
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Legal Business Name | BLS HOME CARE LLC
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Dates
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Enumeration Date | 12/11/2019
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Last Update Date | 10/13/2023
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Provider Practice Location Address
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Address Line | 6234 W CAPITOL DR
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City | MILWAUKEE
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State | WI
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Zip | 53216-2122
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Country | US
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Telephone | 414-374-6584
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Fax | 414-755-7099
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Provider Business Mailing Address
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Address Line | 6234 W CAPITOL DR
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City | MILWAUKEE
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State | WI
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Zip | 53216-2122
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Country | US
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Telephone | 414-374-6584
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Fax | 414-755-7099
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | BARBRA M WILLIAMS
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Credential |
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Telephone | 262-880-6964
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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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