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General NPI Number Information
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NPI Number | 1518213958
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Entity Type | Organization
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Legal Business Name | SWEET HOME HOME CARE, L.L.C.
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Dates
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Enumeration Date | 08/02/2012
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Last Update Date | 08/02/2012
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Provider Practice Location Address
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Address Line | 124 3RD ST STE 2
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City | TRACY
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State | MN
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Zip | 56175-1271
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Country | US
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Telephone | 701-318-2814
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Fax |
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Provider Business Mailing Address
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Address Line | 124 3RD ST STE 2
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City | TRACY
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State | MN
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Zip | 56175-1271
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Country | US
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Telephone | 701-318-2814
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Fax |
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Authorized Official
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Title or Position | C.E.O.
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Name | MRS. SHERREIEA ROSETTA REINER
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Credential | R.N.
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Telephone | 701-318-2814
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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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