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General NPI Number Information
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NPI Number | 1689430555
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Entity Type | Organization
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Legal Business Name | DAYLILY HOME CARE
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Dates
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Enumeration Date | 02/27/2024
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Last Update Date | 02/27/2024
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Provider Practice Location Address
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Address Line | 804 GORDON STREET EXT
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City | GREENVILLE
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State | SC
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Zip | 29611-4452
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Country | US
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Telephone | 864-325-5133
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Fax |
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Provider Business Mailing Address
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Address Line | 804 GORDON STREET EXT
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City | GREENVILLE
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State | SC
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Zip | 29611-4452
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Country | US
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Telephone | 864-325-5133
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | WENDY RUNION
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Credential |
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Telephone | 864-325-5133
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174200000X
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Taxonomy Name | Meals Provider
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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 | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #3
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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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