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General NPI Number Information
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NPI Number | 1639594443
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Entity Type | Organization
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Legal Business Name | DIVINE MERCY HOME HEALTHCARE SERVICES INC.
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Dates
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Enumeration Date | 03/03/2014
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Last Update Date | 04/09/2014
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Provider Practice Location Address
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Address Line | 5545 N OAK TRFY SUITE 12A
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City | KANSAS CITY
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State | MO
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Zip | 64118-4770
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Country | US
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Telephone | 816-686-7699
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Fax |
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Provider Business Mailing Address
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Address Line | 5545 N OAK TRFY SUITE 12A
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City | KANSAS CITY
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State | MO
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Zip | 64118-4770
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Country | US
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Telephone | 816-686-7699
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR/CEO
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Name | MRS. PRISCILLA OBIANUJU AGALI
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Credential | RN,MSN
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Telephone | 816-686-7699
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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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