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General NPI Number Information
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NPI Number | 1548972797
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Entity Type | Organization
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Legal Business Name | LOYALTY HOME CARE LLC
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Dates
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Enumeration Date | 12/20/2022
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Last Update Date | 12/20/2022
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Provider Practice Location Address
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Address Line | 1510 COUTANT AVE
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City | LAKEWOOD
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State | OH
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Zip | 44107-5114
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Country | US
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Telephone | 216-287-2601
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Fax |
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Provider Business Mailing Address
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Address Line | 19525 HILLIARD BLVD UNIT 16173
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City | ROCKY RIVER
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State | OH
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Zip | 44116-4706
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Country | US
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Telephone | 216-287-2601
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DARTHENA ANNETTE CULPEPPER
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Credential |
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Telephone | 216-287-2601
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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 | 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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Taxonomy #3
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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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