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General NPI Number Information
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NPI Number | 1619072717
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Entity Type | Organization
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Legal Business Name | EVER CARING HOME HEALTH NURSING AGENCY, INC
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Dates
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Enumeration Date | 09/13/2006
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Last Update Date | 03/17/2011
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Provider Practice Location Address
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Address Line | 3939 N WILKE RD
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City | ARLINGTON HEIGHTS
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State | IL
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Zip | 60004-1275
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Country | US
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Telephone | 773-794-3446
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Fax | 773-794-3544
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Provider Business Mailing Address
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Address Line | 3939 N WILKE RD
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City | ARLINGTON HEIGHTS
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State | IL
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Zip | 60004-1275
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Country | US
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Telephone | 773-794-3446
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Fax | 773-794-3544
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. JUDITH YAGUE SANTIAGO
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Credential |
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Telephone | 773-794-3446
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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 | 1010671
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License Number State | IL
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