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General NPI Number Information
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NPI Number | 1720655293
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Entity Type | Organization
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Legal Business Name | HEART 2 HEART HOME CARE LLC
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Dates
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Enumeration Date | 06/04/2021
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Last Update Date | 02/07/2023
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Provider Practice Location Address
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Address Line | 142 ENCHANTED PKWY STE 200A
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City | MANCHESTER
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State | MO
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Zip | 63021-5412
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Country | US
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Telephone | 877-784-1934
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Fax | 314-735-4217
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Provider Business Mailing Address
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Address Line | 142 ENCHANTED PKWY STE 200A
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City | MANCHESTER
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State | MO
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Zip | 63021-5412
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Country | US
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Telephone | 877-784-1934
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | NIA MARIE LEWIS
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Credential |
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Telephone | 877-784-1934
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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 |
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License Number State |
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