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General NPI Number Information
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NPI Number | 1639664428
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Entity Type | Organization
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Legal Business Name | HEIGHTEN SENIOR SERVICES, LLC
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Dates
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Enumeration Date | 06/25/2018
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Last Update Date | 10/16/2018
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Provider Practice Location Address
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Address Line | 8000 NATURAL BRIDGE RD STE 116
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City | SAINT LOUIS
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State | MO
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Zip | 63121-4402
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Country | US
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Telephone | 314-527-2488
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Fax | 314-527-2603
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Provider Business Mailing Address
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Address Line | 8000 NATURAL BRIDGE RD STE 116
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City | SAINT LOUIS
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State | MO
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Zip | 63121-4402
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Country | US
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Telephone | 314-527-2488
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Fax | 314-527-2603
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | CHRISHAUNDRA MCCALLUM
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Credential |
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Telephone | 314-527-2488
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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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