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General NPI Number Information
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NPI Number | 1851850283
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Entity Type | Organization
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Legal Business Name | ANGELS IN CHARGE HOME CARE SERVICES LLC
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Dates
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Enumeration Date | 03/15/2019
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Last Update Date | 03/15/2019
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Provider Practice Location Address
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Address Line | 104 WILLIAM ST
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City | STRATFORD
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State | CT
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Zip | 06614-4734
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Country | US
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Telephone | 202-386-0055
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Fax |
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Provider Business Mailing Address
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Address Line | 104 WILLIAM ST
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City | STRATFORD
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State | CT
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Zip | 06614-4734
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Country | US
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Telephone | 202-386-0055
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | BEULAH LEE WALLACE
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Credential |
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Telephone | 203-386-0055
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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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Taxonomy #2
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number |
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License Number State |
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