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General NPI Number Information
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NPI Number | 1639769367
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Entity Type | Organization
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Legal Business Name | WILLIAM & ANNIE LUE RESIDENTIAL SERVICES LLC
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Dates
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Enumeration Date | 01/26/2021
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 6687 BASSWOOD DR
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City | BEDFORD HEIGHTS
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State | OH
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Zip | 44146-4810
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Country | US
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Telephone | 216-376-9961
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Fax |
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Provider Business Mailing Address
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Address Line | 6687 BASSWOOD DRIVE
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City | BEDFORD HEIGHTS
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State | OH
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Zip | 44146
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Country | US
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Telephone | 216-376-9961
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Fax |
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Authorized Official
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Title or Position | OWNER/CEO/BSW/LSW
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Name | MRS. VERONICA GAIL SWEENEY
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Credential |
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Telephone | 216-376-9961
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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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