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General NPI Number Information
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NPI Number | 1770045908
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Entity Type | Organization
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Legal Business Name | HOMESAFE FOR SENIORS LLC
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Dates
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Enumeration Date | 04/05/2019
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Last Update Date | 04/05/2019
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Provider Practice Location Address
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Address Line | 5908 EDNA AVE
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City | BALTIMORE
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State | MD
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Zip | 21214-1805
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Country | US
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Telephone | 443-473-2030
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Fax |
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Provider Business Mailing Address
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Address Line | 4901 HARFORD ROAD, #3524
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City | BALTIMORE
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State | MD
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Zip | 21214
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Country | US
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Telephone | 443-473-2030
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | AMY YOUNG
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Credential | OTR/L, CEAC, CAPS
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Telephone | 443-473-2030
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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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