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General NPI Number Information
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NPI Number | 1669886701
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Entity Type | Organization
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Legal Business Name | ICARE4U IN HOME CARE SERVICES LLC
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Dates
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Enumeration Date | 06/17/2014
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Last Update Date | 06/17/2014
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Provider Practice Location Address
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Address Line | 149 S CAROLINA DR
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City | ELYRIA
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State | OH
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Zip | 44035-7817
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Country | US
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Telephone | 440-465-3395
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Fax |
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Provider Business Mailing Address
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Address Line | 149 SOUTH CAROLINA DRIVE
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City | ELYRIA
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State | OH
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Zip | 44035
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Country | US
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Telephone | 440-465-3395
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | BATINA LESCO
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Credential |
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Telephone | 440-465-3395
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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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