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General NPI Number Information
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NPI Number | 1568867497
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Entity Type | Organization
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Legal Business Name | Q AND K HOME CARE SERVICES LLC
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Dates
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Enumeration Date | 11/04/2014
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Last Update Date | 03/11/2025
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Provider Practice Location Address
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Address Line | 1156 LIBERTY AVE STE C
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City | HILLSIDE
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State | NJ
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Zip | 07205-2142
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Country | US
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Telephone | 973-766-4052
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 373
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City | WEST ORANGE
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State | NJ
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Zip | 07052-0373
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Country | US
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Telephone | 973-666-5502
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | OMOTAYO ADENIYI
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Credential |
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Telephone | 973-766-4052
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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 | HP0195500
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License Number State | NJ
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Taxonomy #2
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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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