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General NPI Number Information
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NPI Number | 1518099464
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Entity Type | Organization
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Legal Business Name | GREYSTONE HOME HEALTHCARE LLC
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Dates
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Enumeration Date | 03/09/2007
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Last Update Date | 03/16/2021
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Provider Practice Location Address
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Address Line | 1400 US HIGHWAY 441 NORTH SUITE 553
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City | THE VILLAGES
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State | FL
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Zip | 32159
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Country | US
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Telephone | 352-205-8514
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Fax | 352-391-1754
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Provider Business Mailing Address
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Address Line | 4042 PARK OAKS BLVE. SUITE 300
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City | TAMPA
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State | FL
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Zip | 33610-9539
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Country | US
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Telephone | 813-635-9500
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Fax | 813-635-0008
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | JACQUELINE F. PRICE
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Credential |
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Telephone | 813-635-9500
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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 | 299992681
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License Number State | FL
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