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General NPI Number Information
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NPI Number | 1629707781
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Entity Type | Organization
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Legal Business Name | THE ROCK HOME CARE INC
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Dates
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Enumeration Date | 06/06/2022
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Last Update Date | 06/06/2022
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Provider Practice Location Address
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Address Line | 979 BAY STREET RM #4, STATEN ISLAND NEW YORK, 10305
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City | STATEN ISLAND
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State | NY
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Zip | 10305-4903
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Country | US
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Telephone | 917-830-0201
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Fax | 917-830-0201
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Provider Business Mailing Address
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Address Line | 979 BAY STREET STATEN ISLAND NEW YORK, 10305 SUITE #4
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City | STATEN ISLAND
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State | NY
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Zip | 10305-4903
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Country | US
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Telephone | 917-830-0201
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Fax | 917-830-0201
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Authorized Official
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Title or Position | CEO/PRESIDENT
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Name | MRS. HALIMATTU MARIAM FODAY-KAKPA
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Credential | THE ROCK HOME CARE
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Telephone | 347-879-1195
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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 |
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License Number State |
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