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General NPI Number Information
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NPI Number | 1588934111
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Entity Type | Organization
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Legal Business Name | GRACIOUS FAMILY HOMECARE SERVICES, LLC
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Dates
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Enumeration Date | 01/12/2012
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Last Update Date | 02/25/2012
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Provider Practice Location Address
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Address Line | 203 E LINCOLN HWY
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City | COATESVILLE
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State | PA
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Zip | 19320-3407
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Country | US
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Telephone | 610-813-2778
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Fax | 484-288-8821
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Provider Business Mailing Address
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Address Line | 114 OAK AVE
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City | COATESVILLE
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State | PA
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Zip | 19320-2710
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Country | US
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Telephone | 610-813-2778
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Fax | 484-288-8821
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Authorized Official
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Title or Position | FOUNDER/DIRECTOR
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Name | MRS. ROSELINE QUEH SARNOR
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Credential |
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Telephone | 610-813-2778
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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 | 21853601
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License Number State | PA
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