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General NPI Number Information
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NPI Number | 1811076474
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Entity Type | Organization
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Legal Business Name | PEOPLE HOME HEALTH CARE SERVICES LICENSED, INC
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Dates
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Enumeration Date | 11/03/2006
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Last Update Date | 01/27/2025
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Provider Practice Location Address
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Address Line | 692 MILLERSPORT HWY
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City | AMHERST
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State | NY
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Zip | 14226-2401
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Country | US
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Telephone | 716-874-5600
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Fax | 716-874-0388
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Provider Business Mailing Address
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Address Line | 1219 N FOREST RD
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City | WILLIAMSVILLE
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State | NY
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Zip | 14221-3292
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Country | US
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Telephone | 716-634-8132
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Fax | 716-874-0388
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Authorized Official
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Title or Position | ADMINISTRATOR/VICE PRESIDENT
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Name | JACOB TROY WILKINS
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Credential | RN
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Telephone | 716-874-5600
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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 | 9336L001
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License Number State | NY
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