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General NPI Number Information
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NPI Number | 1508382557
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Entity Type | Organization
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Legal Business Name | RESTORER HOME HEALTH SERVICES LLC
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Dates
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Enumeration Date | 08/21/2017
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Last Update Date | 11/02/2022
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Provider Practice Location Address
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Address Line | 10065 SANDMEYER LN STE 301
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City | PHILADELPHIA
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State | PA
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Zip | 19116-3528
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Country | US
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Telephone | 267-343-8505
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Fax | 267-343-7976
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Provider Business Mailing Address
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Address Line | 10065 SANDMEYER LN STE 301
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City | PHILADELPHIA
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State | PA
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Zip | 19116-3528
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Country | US
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Telephone | 267-343-8505
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Fax | 267-343-7976
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Authorized Official
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Title or Position | ADMINISTRATOR/OWNER
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Name | WALE DAVIS
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Credential |
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Telephone | 267-343-8505
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive 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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