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NPI 1568117216

NPI 1568117216 : UNIROSE HOME CARE LLC : EAST HARTFORD, CT

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General NPI Number Information
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    NPI Number           |    1568117216
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    Entity Type          |    Organization 
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    Legal Business Name  |    UNIROSE HOME CARE LLC 
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Dates
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    Enumeration Date     |    02/21/2022
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    Last Update Date     |    02/21/2022
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Provider Practice Location Address
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    Address Line         |    9 TOWER RD 
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    City                 |    EAST HARTFORD
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    State                |    CT
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    Zip                  |    06108-3038
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    Country              |    US
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    Telephone            |    860-239-0556
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    9 TOWER RD 
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    City                 |    EAST HARTFORD
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    State                |    CT
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    Zip                  |    06108-3038
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    Country              |    US
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    Telephone            |    860-239-0556
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     FELICIA  FYNN 
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    Credential           |    
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    Telephone            |    860-239-0556
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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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