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General NPI Number Information
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NPI Number | 1790517613
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Entity Type | Organization
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Legal Business Name | SENSORY ON THE HEAL (S.O.T.H)
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Dates
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Enumeration Date | 08/19/2024
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Last Update Date | 08/19/2024
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Provider Practice Location Address
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Address Line | 3721 E 153RD ST
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City | CLEVELAND
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State | OH
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Zip | 44120-4911
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Country | US
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Telephone | 216-849-1242
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Fax |
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Provider Business Mailing Address
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Address Line | 23106 NICHOLAS AVE
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City | EUCLID
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State | OH
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Zip | 44123-3266
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Country | US
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Telephone | 216-849-1242
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SILEENA BIBB
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Credential |
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Telephone | 216-849-1242
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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Taxonomy #4
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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 #5
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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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