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General NPI Number Information
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NPI Number | 1861863623
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Entity Type | Organization
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Legal Business Name | LIFECALL HOME CARE SERVICES LLC
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Dates
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Enumeration Date | 10/19/2015
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Last Update Date | 04/02/2018
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Provider Practice Location Address
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Address Line | 151 HARRISON ST STE 205
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City | ATHOL
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State | MA
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Zip | 01331-2744
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Country | US
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Telephone | 978-248-9610
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Fax | 978-248-9611
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Provider Business Mailing Address
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Address Line | 151 HARRISON ST STE 205
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City | ATHOL
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State | MA
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Zip | 01331-2744
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Country | US
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Telephone | 978-248-9610
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Fax | 978-248-9611
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Authorized Official
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Title or Position | CEO
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Name | LUCY MWANGI
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Credential |
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Telephone | 978-726-0024
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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 |
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