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General NPI Number Information
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NPI Number | 1538933429
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Entity Type | Organization
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Legal Business Name | JOURNEY HOME FOSTER CARE LLC
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Dates
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Enumeration Date | 11/10/2023
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Last Update Date | 11/10/2023
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Provider Practice Location Address
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Address Line | 4040 STONE RIDGE RD
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City | ZANESVILLE
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State | OH
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Zip | 43701-0501
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Country | US
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Telephone | 740-312-1234
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Fax |
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Provider Business Mailing Address
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Address Line | 4040 STONE RIDGE RD
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City | ZANESVILLE
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State | OH
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Zip | 43701-0501
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | CHARITY WHEELER
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Credential | LSW
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Telephone | 740-312-1234
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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