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General NPI Number Information
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NPI Number | 1669376018
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Entity Type | Organization
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Legal Business Name | LIFECARE SUPPORT HOMECARE SERVICES
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Dates
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Enumeration Date | 10/07/2026
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Last Update Date | 10/07/2026
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Provider Practice Location Address
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Address Line | 44 CLIFFORD ST APT 2
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City | EAST ORANGE
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State | NJ
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Zip | 07018-1977
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Country | US
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Telephone | 530-812-7204
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Fax |
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Provider Business Mailing Address
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Address Line | 44 CLIFFORD ST APT 2
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City | EAST ORANGE
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State | NJ
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Zip | 07018-1977
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Country | US
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Telephone | 530-812-7204
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MS. JANET JOAN SANDY
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Credential | HOME HEALTH SERVICES
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Telephone | 530-812-7204
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TA0700X
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Taxonomy Name | Adult Development & Aging Psychologist
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License Number |
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License Number State | NULL
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