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General NPI Number Information
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NPI Number | 1699956557
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Entity Type | Organization
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Legal Business Name | HOME CARE UNLIMITED, LLC
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Dates
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Enumeration Date | 11/20/2007
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Last Update Date | 11/20/2007
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Provider Practice Location Address
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Address Line | 3107 SPRING GLEN RD SUITE # 208
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City | JACKSONVILLE
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State | FL
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Zip | 32207-5916
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Country | US
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Telephone | 904-346-0623
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Fax | 904-346-0624
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Provider Business Mailing Address
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Address Line | 3107 SPRING GLEN RD SUITE # 208
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City | JACKSONVILLE
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State | FL
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Zip | 32207-5916
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Country | US
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Telephone | 904-346-0623
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Fax | 904-346-0624
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Authorized Official
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Title or Position | CEO
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Name | MRS. EDNA FREEMAN
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Credential |
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Telephone | 904-566-3927
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 230198
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License Number State | FL
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