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General NPI Number Information
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NPI Number | 1780405902
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Entity Type | Organization
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Legal Business Name | SAFE HAVEN HOME CARE LLC
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Dates
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Enumeration Date | 10/21/2024
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Last Update Date | 10/21/2024
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Provider Practice Location Address
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Address Line | 5839 HOFFMAN AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19143-3924
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Country | US
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Telephone | 215-908-6718
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Fax | 267-324-5977
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Provider Business Mailing Address
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Address Line | 5839 HOFFMAN AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19143-3924
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Country | US
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Telephone | 215-908-6718
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Fax | 267-324-5977
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Authorized Official
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Title or Position | CEO
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Name | JACQUELINE WILSON
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Credential |
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Telephone | 215-908-6718
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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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