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General NPI Number Information
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NPI Number | 1851334627
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Entity Type | Organization
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Legal Business Name | FAMILY HOME HEALTH SERVICES, LLC
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Dates
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Enumeration Date | 06/13/2006
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Last Update Date | 09/29/2021
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Provider Practice Location Address
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Address Line | 6012 CLARK CENTER AVE
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City | SARASOTA
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State | FL
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Zip | 34236-2716
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Country | US
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Telephone | 239-513-1297
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Fax | 239-513-0031
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Provider Business Mailing Address
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Address Line | 5460 63RD ST E UNIT A
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City | BRADENTON
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State | FL
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Zip | 34203-7808
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Country | US
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Telephone | 941-907-1595
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Fax | 941-907-4768
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Authorized Official
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Title or Position | CFO
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Name | LISA POTTER
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Credential |
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Telephone | 303-413-6276
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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 | 299992208
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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