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General NPI Number Information
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NPI Number | 1710593082
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Entity Type | Organization
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Legal Business Name | SIMPLYLOVE CARE INC
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Dates
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Enumeration Date | 09/21/2020
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Last Update Date | 04/06/2022
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Provider Practice Location Address
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Address Line | 1161 MURFREESBORO PIKE STE 520
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City | NASHVILLE
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State | TN
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Zip | 37217-2229
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Country | US
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Telephone | 615-293-4132
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Fax |
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Provider Business Mailing Address
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Address Line | 1161 MURFREESBORO PIKE STE 520
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City | NASHVILLE
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State | TN
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Zip | 37217-2229
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Country | US
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Telephone | 615-293-4132
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ELIZA REBECCA KETEKU
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Credential | RN, MSN
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Telephone | 615-293-4132
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training 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 | 251J00000X
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Taxonomy Name | Nursing Care Agency
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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 | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number |
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Taxonomy #4
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #5
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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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