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General NPI Number Information
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NPI Number | 1790508695
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Entity Type | Organization
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Legal Business Name | JEVS CARE AT HOME
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Dates
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Enumeration Date | 11/07/2024
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Last Update Date | 11/07/2024
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Provider Practice Location Address
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Address Line | 1404 FORREST AVE STE 2B
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City | DOVER
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State | DE
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Zip | 19904-3478
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Country | US
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Telephone | 302-985-5580
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Fax | 302-985-5580
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Provider Business Mailing Address
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Address Line | 9350 ASHTON RD
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City | PHILADELPHIA
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State | PA
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Zip | 19114-3400
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Country | US
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Telephone | 267-835-4682
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | WALESKA MALDONADO
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Credential |
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Telephone | 215-718-4283
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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