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General NPI Number Information
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NPI Number | 1649813643
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Entity Type | Organization
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Legal Business Name | FAMILY CARE SERVICES, INC
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Dates
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Enumeration Date | 10/22/2019
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Last Update Date | 01/08/2024
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Provider Practice Location Address
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Address Line | 5320 159TH ST STE 100
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City | OAK FOREST
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State | IL
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Zip | 60452-3329
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Country | US
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Telephone | 708-206-2200
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Fax | 708-991-7247
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Provider Business Mailing Address
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Address Line | 17680 SOUTH KEDZIE AVE SUITE 106B
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City | HAZEL CREST
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State | IL
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Zip | 60429-2043
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Country | US
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Telephone | 708-206-2200
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Fax | 708-991-7247
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Authorized Official
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Title or Position | AGENCY MANAGER
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Name | MRS. MANOLO GAWAT
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Credential |
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Telephone | 708-206-2200
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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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Taxonomy #2
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State |
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