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General NPI Number Information
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NPI Number | 1700651361
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Entity Type | Organization
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Legal Business Name | LIVWELL HOMECARE AGENCY LLC
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Dates
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Enumeration Date | 11/22/2023
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Last Update Date | 11/22/2023
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Provider Practice Location Address
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Address Line | 3458 CHESTER DR
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City | MACUNGIE
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State | PA
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Zip | 18062-2092
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Country | US
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Telephone | 612-703-9952
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Fax |
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Provider Business Mailing Address
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Address Line | 3458 CHESTER DR
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City | MACUNGIE
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State | PA
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Zip | 18062-2092
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Country | US
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Telephone | 612-703-9952
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | LINDA DEBRAH
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Credential |
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Telephone | 612-703-9952
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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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