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General NPI Number Information
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NPI Number | 1821214198
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Entity Type | Organization
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Legal Business Name | UNIVERSAL HOME HEALTH CARE, INC
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Dates
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Enumeration Date | 04/17/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 933 ERIE AVE SUITE 9
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City | SHEBOYGAN
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State | WI
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Zip | 53081-3300
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Country | US
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Telephone | 920-452-3370
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Fax | 920-452-3380
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Provider Business Mailing Address
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Address Line | 933 ERIE AVE STE 9
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City | SHEBOYGAN
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State | WI
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Zip | 53081-3300
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Country | US
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Telephone | 920-452-3370
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Fax | 920-452-3380
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Authorized Official
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Title or Position | CEO
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Name | JOSHUA T LEE
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Credential | RN
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Telephone | 920-889-8446
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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 | 1041
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License Number State | WI
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