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General NPI Number Information
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NPI Number | 1578825402
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Entity Type | Organization
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Legal Business Name | AMONG FRIENDS ADULT DAY CARE INC
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Dates
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Enumeration Date | 06/15/2012
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Last Update Date | 06/02/2022
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Provider Practice Location Address
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Address Line | 13333 CICERO AVE
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City | CRESTWOOD
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State | IL
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Zip | 60445-1427
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Country | US
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Telephone | 708-396-2345
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Fax | 708-389-0274
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Provider Business Mailing Address
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Address Line | 13333 CICERO AVE
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City | CRESTWOOD
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State | IL
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Zip | 60418-1427
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Country | US
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Telephone | 708-396-2345
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Fax | 708-389-0274
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. RALPH J DITCHIE
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Credential |
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Telephone | 708-396-2345
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311500000X
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Taxonomy Name | Alzheimer Center (Dementia Center)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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