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General NPI Number Information
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NPI Number | 1710340641
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Entity Type | Organization
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Legal Business Name | ALTERNATIVES IN HOME CARE, LLC
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Dates
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Enumeration Date | 03/29/2016
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Last Update Date | 03/29/2016
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Provider Practice Location Address
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Address Line | 1612 MARION ST SUITE 211
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City | COLUMBIA
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State | SC
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Zip | 29201-2939
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Country | US
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Telephone | 803-391-8662
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Fax |
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Provider Business Mailing Address
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Address Line | 1612 MARION ST SUITE 211
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City | COLUMBIA
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State | SC
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Zip | 29201-2939
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Country | US
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Telephone | 803-391-8662
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ANGELIKA RUSSELL
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Credential | CMC
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Telephone | 520-327-3384
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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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 | IHCP-0055
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License Number State | SC
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