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General NPI Number Information
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NPI Number | 1750802500
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Entity Type | Organization
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Legal Business Name | MANCHESTER HOME HEALTHCARE LLC.
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Dates
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Enumeration Date | 07/02/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 14390 MANCHESTER RD STE 201
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City | MANCHESTER
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State | MO
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Zip | 63011-4047
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Country | US
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Telephone | 314-277-8987
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Fax |
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Provider Business Mailing Address
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Address Line | 14390 MANCHESTER RD STE 201
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City | MANCHESTER
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State | MO
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Zip | 63011-4047
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Country | US
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Telephone | 314-277-8987
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. ALBERT ATOYAN
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Credential |
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Telephone | 314-277-8987
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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 | LC001544998
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License Number State | MO
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