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General NPI Number Information
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NPI Number | 1689357329
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Entity Type | Organization
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Legal Business Name | RELATIVE CARE AT HOME AGENCY LLC
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Dates
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Enumeration Date | 08/09/2023
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Last Update Date | 08/09/2023
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Provider Practice Location Address
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Address Line | 2015 N MASTERS DR STE 216
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City | DALLAS
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State | TX
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Zip | 75217-3188
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Country | US
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Telephone | 215-870-0717
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Fax |
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Provider Business Mailing Address
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Address Line | 1200 E HIGH ST STE 201
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City | POTTSTOWN
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State | PA
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Zip | 19464-4954
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Country | US
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Telephone | 215-870-0717
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Fax |
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Authorized Official
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Title or Position | AMBR
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Name | TIMOTHY WALKER JR
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Credential |
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Telephone | 215-870-0717
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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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 | 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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