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General NPI Number Information
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NPI Number | 1831136472
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Entity Type | Organization
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Legal Business Name | SOUTHEASTERN HOME HEALTH CARE, LLC
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Dates
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Enumeration Date | 06/01/2006
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Last Update Date | 08/29/2023
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Provider Practice Location Address
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Address Line | 7502 LEE DAVIS RD
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City | MECHANICSVILLE
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State | VA
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Zip | 23111-3603
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Country | US
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Telephone | 804-769-1380
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Fax | 804-769-1377
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Provider Business Mailing Address
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Address Line | 1501 GRUNDY LN SUITE 100
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City | BRISTOL
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State | PA
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Zip | 19007-1506
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Country | US
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Telephone | 215-826-0900
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Fax | 215-826-8300
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Authorized Official
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Title or Position | VP, DEPUTY GENERAL COUNSEL
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Name | HEATHER SISCEL
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Credential |
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Telephone | 224-221-0465
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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 | 497508A
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License Number State | VA
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