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General NPI Number Information
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NPI Number | 1659569457
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Entity Type | Organization
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Legal Business Name | LEGACY HOME CARE INC
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Dates
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Enumeration Date | 10/05/2007
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Last Update Date | 06/26/2008
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Provider Practice Location Address
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Address Line | 2140 LEE ROAD SUITE 215
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City | CLEVELAND
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State | OH
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Zip | 44118-2738
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Country | US
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Telephone | 216-932-4170
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Fax |
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Provider Business Mailing Address
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Address Line | 2140 LEE RD SUITE 215
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City | CLEVELAND
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State | OH
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Zip | 44118-2738
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Country | US
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Telephone | 216-932-4170
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. FRANCESCA STEINHART
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Credential | MA, LSW
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Telephone | 216-932-4170
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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 | 5-0017912
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License Number State | OH
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