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General NPI Number Information
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NPI Number | 1861379471
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Entity Type | Organization
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Legal Business Name | LYBERTY75 HOMECARE
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Dates
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Enumeration Date | 08/18/2025
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Last Update Date | 09/09/2025
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Provider Practice Location Address
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Address Line | 9025 LAMON AVE
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City | SKOKIE
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State | IL
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Zip | 60077-1759
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Country | US
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Telephone | 773-603-0489
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Fax |
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Provider Business Mailing Address
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Address Line | 9025 LAMON AVE
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City | SKOKIE
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State | IL
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Zip | 60077-1759
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Country | US
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Telephone | 773-603-0489
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. MOGBADOUNHOLA ROSALINE LALEYE
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Credential | CEO
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Telephone | 773-744-5422
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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