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General NPI Number Information
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NPI Number | 1861758732
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Entity Type | Organization
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Legal Business Name | RECOVERY HOME CARE, INC.
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Dates
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Enumeration Date | 04/05/2012
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Last Update Date | 02/08/2016
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Provider Practice Location Address
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Address Line | 701 E COMMERCIAL BLVD SUITE 250
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City | OAKLAND PARK
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State | FL
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Zip | 33334-3391
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Country | US
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Telephone | 954-351-8814
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Fax |
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Provider Business Mailing Address
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Address Line | 544 NW UNIVERSITY BLVD SUITE 101
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City | PORT ST LUCIE
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State | FL
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Zip | 34986-2283
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Country | US
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Telephone | 772-200-2760
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Fax | 772-200-2760
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Authorized Official
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Title or Position | DIRECTOR OF BILLING
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Name | MS. GINNAH SKULA
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Credential |
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Telephone | 772-200-2760
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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 | 299991378
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License Number State | FL
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