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General NPI Number Information
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NPI Number | 1811859739
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Entity Type | Organization
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Legal Business Name | SUPPORTIVE KARE AGENCY
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Dates
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Enumeration Date | 12/01/2025
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 649 SOUTH AVE UNIT 2
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City | SECANE
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State | PA
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Zip | 19018-3541
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Country | US
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Telephone | 484-480-7001
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Fax |
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Provider Business Mailing Address
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Address Line | 649 SOUTH AVE UNIT 2
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City | SECANE
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State | PA
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Zip | 19018-3541
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Country | US
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Telephone | 484-480-7001
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KARIMA WARDLAW
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Credential | RN
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Telephone | 484-480-7001
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State |
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