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General NPI Number Information
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NPI Number | 1730428269
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Entity Type | Organization
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Legal Business Name | HOMEAIDES, INC.
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Dates
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Enumeration Date | 02/04/2013
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Last Update Date | 02/04/2013
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Provider Practice Location Address
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Address Line | 3326 BUFFALO RD SUITE NUMBER 2
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City | ERIE
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State | PA
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Zip | 16510-1812
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Country | US
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Telephone | 814-348-4444
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Fax | 814-348-4445
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Provider Business Mailing Address
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Address Line | 3326 BUFFALO RD SUITE NUMBER 2
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City | ERIE
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State | PA
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Zip | 16510-1812
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Country | US
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Telephone | 814-348-4444
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Fax | 814-348-4445
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MISS ERICKA LYNN GARDNER
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Credential | R.N.
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Telephone | 814-348-4444
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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 | 23913601
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License Number State | PA
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