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General NPI Number Information
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NPI Number | 1659961779
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Entity Type | Organization
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Legal Business Name | GENTLE TOUCH HOME HEALTH SERVICES
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Dates
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Enumeration Date | 01/22/2021
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Last Update Date | 01/22/2021
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Provider Practice Location Address
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Address Line | 4126 E 110TH ST
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City | CLEVELAND
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State | OH
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Zip | 44105-5325
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Country | US
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Telephone | 216-203-6053
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Fax |
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Provider Business Mailing Address
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Address Line | 4126 E 110TH ST
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City | CLEVELAND
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State | OH
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Zip | 44105-5325
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Country | US
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Telephone | 216-203-6053
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Fax |
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Authorized Official
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Title or Position | STNA,HOME CARE SERVICES
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Name | MS. TAWANDA SHERRECE JOLLY
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Credential | INDEPENDANT PROVIDER
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Telephone | 216-203-6053
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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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 | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number |
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License Number State |
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