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General NPI Number Information
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NPI Number | 1639618820
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Entity Type | Organization
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Legal Business Name | LIVEGOOD AT HOME CARE SERVICES LLC
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Dates
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Enumeration Date | 02/21/2017
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Last Update Date | 08/20/2023
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Provider Practice Location Address
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Address Line | 1103 DULLES AVE APT 501
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City | STAFFORD
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State | TX
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Zip | 77477-5707
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Country | US
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Telephone | 888-853-0398
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Fax | 504-799-2495
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Provider Business Mailing Address
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Address Line | 1103 DULLES AVE APT 501
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City | STAFFORD
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State | TX
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Zip | 77477-5707
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Country | US
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Telephone | 888-853-0398
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Fax | 504-799-2495
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Authorized Official
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Title or Position | OFFICER
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Name | MS. ONIIKA T HOWARD
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Credential | CNA, AHA INSTRUCTOR
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Telephone | 888-853-0398
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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