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General NPI Number Information
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NPI Number | 1639787724
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Entity Type | Organization
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Legal Business Name | GREATER LOVE HOME HEALTH CARE INC
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Dates
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Enumeration Date | 07/15/2020
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Last Update Date | 07/15/2020
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Provider Practice Location Address
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Address Line | 145 W OSTEND ST
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City | BALTIMORE
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State | MD
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Zip | 21230-3764
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Country | US
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Telephone | 240-898-5349
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Fax |
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Provider Business Mailing Address
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Address Line | 8600 W CHESTER PIKE STE 308
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City | UPPER DARBY
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State | PA
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Zip | 19082-2629
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | AUGIE WALLACE
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Credential |
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Telephone | 484-433-8208
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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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