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General NPI Number Information
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NPI Number | 1811723562
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Entity Type | Organization
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Legal Business Name | ATTENTIVE HOME CARE LLC
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Dates
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Enumeration Date | 09/10/2024
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Last Update Date | 09/10/2024
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Provider Practice Location Address
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Address Line | 680 COMMERCE DR STE 270
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City | WOODBURY
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State | MN
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Zip | 55125-4502
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Country | US
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Telephone | 612-447-5958
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Fax | 612-568-9977
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Provider Business Mailing Address
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Address Line | 680 COMMERCE DR STE 270
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City | WOODBURY
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State | MN
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Zip | 55125-4502
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Country | US
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Telephone | 612-447-5958
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | JENNIFER N COLEY
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Credential |
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Telephone | 360-633-6711
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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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