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NPI 1780666321

NPI 1780666321 : CENTERWELL HEALTH SERVICES USA LLC : ALBANY, GA

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General NPI Number Information
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    NPI Number           |    1780666321
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    Entity Type          |    Organization 
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    Legal Business Name  |    CENTERWELL HEALTH SERVICES USA LLC 
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Dates
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    Enumeration Date     |    11/18/2005
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    Last Update Date     |    08/05/2025
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Provider Practice Location Address
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    Address Line         |    2510 ARCHWOOD DR SUITES 11 & 12
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    City                 |    ALBANY
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    State                |    GA
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    Zip                  |    31707-6623
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    Country              |    US
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    Telephone            |    229-430-8878
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    Fax                  |    229-430-9920
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Provider Business Mailing Address
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    Address Line         |    6330 SPRINT PARKWAY SUITE 300
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    City                 |    OVERLAND PARK
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    State                |    KS
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    Zip                  |    66211-1157
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    Country              |    US
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    Telephone            |    913-814-2206
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    Fax                  |    913-814-2029
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Authorized Official
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    Title or Position    |    PRESIDENT, HOME HEALTH
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    Name                 |     LLOYD KIRK ALLEN 
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    Credential           |    
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    Telephone            |    502-580-1069
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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       |    047276H
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    License Number State |    GA
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