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General NPI Number Information
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NPI Number | 1770011157
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Entity Type | Organization
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Legal Business Name | LANDY'S CARE LLC
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Dates
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Enumeration Date | 05/30/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 4365 RAYNHAM ST
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City | LAS VEGAS
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State | NV
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Zip | 89115-3834
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Country | US
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Telephone | 702-747-9888
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Fax | 702-995-0517
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Provider Business Mailing Address
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Address Line | 4365 RAYNHAM ST
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City | LAS VEGAS
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State | NV
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Zip | 89115-3834
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Country | US
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Telephone | 702-747-9888
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Fax | 702-995-0517
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MS. TOSHA THOMAS
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Credential |
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Telephone | 702-747-9888
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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 | 8429-PCS-0
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License Number State | NV
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