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General NPI Number Information
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NPI Number | 1578287561
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Entity Type | Organization
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Legal Business Name | ALLIANCE LOVING CARE LLC
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Dates
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Enumeration Date | 10/03/2022
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Last Update Date | 11/27/2024
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Provider Practice Location Address
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Address Line | 5063 SABRA AVE
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City | HUBER HEIGHTS
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State | OH
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Zip | 45424-5346
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Country | US
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Telephone | 937-499-3862
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Fax | 937-522-0976
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Provider Business Mailing Address
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Address Line | 5063 SABRA AVE
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City | HUBER HEIGHTS
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State | OH
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Zip | 45424-5346
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Country | US
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Telephone | 937-499-3862
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Fax | 937-522-0976
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | MR. STEVEN RUKUNDO
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Credential |
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Telephone | 937-499-3862
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 315P00000X
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Taxonomy Name | Intellectual Disabilities Intermediate Care Facility
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License Number |
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License Number State |
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