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General NPI Number Information
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NPI Number | 1801438866
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Entity Type | Organization
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Legal Business Name | BETTYLEE'S HOME HEALTH CARE LLC
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Dates
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Enumeration Date | 10/11/2019
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Last Update Date | 10/11/2019
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Provider Practice Location Address
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Address Line | 720 OLD MOCCASIN AVE
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City | NORTH LAS VEGAS
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State | NV
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Zip | 89032-8217
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Country | US
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Telephone | 702-572-6692
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 335758
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City | NORTH LAS VEGAS
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State | NV
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Zip | 89033-5758
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | LANEYA JONES
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Credential |
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Telephone | 702-201-6772
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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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