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General NPI Number Information
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NPI Number | 1659823581
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Entity Type | Organization
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Legal Business Name | LOVE TENDER CARE HOME CARE LLC
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Dates
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Enumeration Date | 10/26/2016
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Last Update Date | 10/26/2016
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Provider Practice Location Address
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Address Line | 157 CHURCH ST SUITE 19
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City | NEW HAVEN
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State | CT
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Zip | 06510-2100
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Country | US
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Telephone | 475-655-3026
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Fax |
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Provider Business Mailing Address
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Address Line | 157 CHURCH ST SUITE 19
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City | NEW HAVEN
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State | CT
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Zip | 06510-2100
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Country | US
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Telephone | 475-655-3026
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MISS NICOLE RICHARDSON
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Credential |
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Telephone | 203-507-1883
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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 | #HCA.0001102
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License Number State | CT
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