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NPI 1568947844

NPI 1568947844 : WRAPPED N LOVE HOME CARE : PHILADELPHIA, PA

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General NPI Number Information
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    NPI Number           |    1568947844
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    Entity Type          |    Organization 
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    Legal Business Name  |    WRAPPED N LOVE HOME CARE 
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Dates
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    Enumeration Date     |    10/02/2018
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    Last Update Date     |    10/02/2018
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Provider Practice Location Address
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    Address Line         |    1515 S WILTON ST 
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    City                 |    PHILADELPHIA
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    State                |    PA
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    Zip                  |    19143-5023
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    Country              |    US
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    Telephone            |    267-886-2023
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1515 S WILTON ST 
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    City                 |    PHILADELPHIA
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    State                |    PA
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    Zip                  |    19143-5023
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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    |    OWNER
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    Name                 |     LATIFAH  BOLDS 
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    Credential           |    
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    Telephone            |    267-886-2023
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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 |    
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