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General NPI Number Information
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NPI Number | 1851602957
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Entity Type | Organization
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Legal Business Name | PRECIOUS LIFE HOME HEALTH LLC
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Dates
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Enumeration Date | 06/24/2010
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Last Update Date | 10/19/2023
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Provider Practice Location Address
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Address Line | 303 E ARMY TRAIL RD STE 201
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City | BLOOMINGDALE
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State | IL
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Zip | 60108-2143
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Country | US
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Telephone | 630-635-2655
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Fax | 630-635-2656
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Provider Business Mailing Address
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Address Line | 303 E ARMY TRAIL RD STE 201
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City | BLOOMINGDALE
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State | IL
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Zip | 60108-2143
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Country | US
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Telephone | 630-635-2655
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Fax | 630-635-2656
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MARIA TERESA ADRIANO
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Credential | SN
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Telephone | 630-635-2655
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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 | 1011247
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License Number State | IL
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