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General NPI Number Information
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NPI Number | 1780964122
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Entity Type | Organization
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Legal Business Name | SAFE AT HOME HEALTHCARE, LLC
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Dates
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Enumeration Date | 08/17/2011
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Last Update Date | 08/17/2011
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Provider Practice Location Address
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Address Line | 717 LINCOLN AVE SUITE C
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City | BEDFORD
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State | IN
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Zip | 47421-2124
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Country | US
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Telephone | 812-275-6797
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Fax | 812-275-7421
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Provider Business Mailing Address
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Address Line | 717 LINCOLN AVE SUITE C
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City | BEDFORD
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State | IN
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Zip | 47421-2124
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Country | US
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Telephone | 812-275-6797
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Fax | 812-275-7421
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Authorized Official
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Title or Position | CEO
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Name | DEANNA FORD
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Credential | MBA
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Telephone | 812-275-6797
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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 | 11-012617-1
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License Number State | IN
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