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General NPI Number Information
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NPI Number | 1760681480
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Entity Type | Organization
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Legal Business Name | HOME COMPANIONS SPECIALISTS, LLC
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Dates
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Enumeration Date | 07/12/2007
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Last Update Date | 12/08/2008
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Provider Practice Location Address
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Address Line | 3 W GARDEN ST SUITE 318 - 320
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City | PENSACOLA
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State | FL
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Zip | 32502-5641
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Country | US
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Telephone | 850-433-0733
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Fax | 850-433-0734
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Provider Business Mailing Address
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Address Line | 3 W GARDEN ST SUITE 318 - 320
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City | PENSACOLA
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State | FL
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Zip | 32502-5641
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Country | US
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Telephone | 850-433-0733
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Fax | 850-433-0734
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Authorized Official
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Title or Position | PRESIDENT
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Name | JENNY LYNN WOLFF
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Credential | R.N
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Telephone | 850-433-0733
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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 | 299993399
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License Number State | FL
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