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General NPI Number Information
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NPI Number | 1568765451
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Entity Type | Organization
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Legal Business Name | HEAVENLY TOUCH HOME HEALTHCARE & STAFFING LLC
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Dates
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Enumeration Date | 12/15/2010
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Last Update Date | 12/15/2010
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Provider Practice Location Address
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Address Line | 900 COMMONWEALTH PL SUITE 216
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City | VIRGINIA BEACH
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State | VA
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Zip | 23464-4517
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Country | US
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Telephone | 757-217-9951
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Fax |
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Provider Business Mailing Address
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Address Line | 1334 HAFFORD RD
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City | VIRGINIA BEACH
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State | VA
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Zip | 23464-8670
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Country | US
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Telephone | 757-201-1488
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Fax |
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Authorized Official
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Title or Position | CEO/PRESIDENT
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Name | MRS. HILDRETH MASON-LEON
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Credential | MBA
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Telephone | 757-201-1488
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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 | VA
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