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General NPI Number Information
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NPI Number | 1720650500
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Entity Type | Organization
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Legal Business Name | LIVE WELL HOME HEALTH CARE LLC
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Dates
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Enumeration Date | 07/12/2021
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Last Update Date | 07/12/2021
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Provider Practice Location Address
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Address Line | 212 CIDER DR
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City | SHELBY
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State | NC
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Zip | 28152-8928
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Country | US
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Telephone | 704-974-8973
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Fax |
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Provider Business Mailing Address
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Address Line | 212 CIDER DR
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City | SHELBY
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State | NC
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Zip | 28152-8928
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Country | US
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Telephone | 704-974-8973
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | APRILL HILL
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Credential |
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Telephone | 704-974-8973
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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 | 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 #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home 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 | 342000000X
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Taxonomy Name | Transportation Network Company
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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