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General NPI Number Information
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NPI Number | 1598947418
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Entity Type | Organization
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Legal Business Name | INGALLS HOME CARE
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Dates
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Enumeration Date | 12/03/2007
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Last Update Date | 10/15/2021
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Provider Practice Location Address
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Address Line | 1 INGALLS DR
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City | HARVEY
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State | IL
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Zip | 60426-3558
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Country | US
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Telephone | 708-331-0226
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Fax | 708-915-2749
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Provider Business Mailing Address
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Address Line | 1 INGALLS DR
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City | HARVEY
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State | IL
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Zip | 60426-3558
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Country | US
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Telephone | 708-331-0226
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Fax | 708-915-2749
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Authorized Official
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Title or Position | ASST DIRECTOR QUALITY & COMPLIANCE
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Name | SANDRA FELIKSIK
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Credential | RN
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Telephone | 708-331-0226
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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