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General NPI Number Information
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NPI Number | 1659996015
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Entity Type | Organization
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Legal Business Name | HEALTHY HOME HEALTHCARE LLC
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Dates
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Enumeration Date | 06/11/2020
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Last Update Date | 11/09/2024
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Provider Practice Location Address
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Address Line | 9950 PRINCESS PALM AVE STE 326
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City | TAMPA
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State | FL
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Zip | 33619-8329
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Country | US
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Telephone | 813-652-7070
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Fax | 813-212-4213
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Provider Business Mailing Address
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Address Line | 9950 PRINCESS PALM AVE STE 326
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City | TAMPA
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State | FL
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Zip | 33619-8329
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Country | US
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Telephone | 813-652-7070
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Fax | 813-212-4213
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Authorized Official
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Title or Position | COO
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Name | JIMMY DRAWDY
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Credential | RN
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Telephone | 352-457-5864
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care 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 | 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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