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General NPI Number Information
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NPI Number | 1861758971
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Entity Type | Organization
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Legal Business Name | ANGELS OF LIFE HOME HEALTHCARE, INC.
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Dates
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Enumeration Date | 04/03/2012
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Last Update Date | 04/10/2012
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Provider Practice Location Address
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Address Line | 2300 MAIN ST STE 900
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City | KANSAS CITY
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State | MO
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Zip | 64108-2416
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Country | US
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Telephone | 888-277-1144
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Fax |
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Provider Business Mailing Address
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Address Line | 2300 MAIN ST STE 900
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City | KANSAS CITY
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State | MO
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Zip | 64108-2416
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Country | US
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Telephone | 888-277-1144
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | JERRY HERBERT BROWN JR.
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Credential |
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Telephone | 888-277-1144
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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 |
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License Number State | MO
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