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General NPI Number Information
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NPI Number | 1871089649
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Entity Type | Organization
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Legal Business Name | IN GOOD HANDS HOME HEALTHCARE LLC
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Dates
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Enumeration Date | 07/05/2018
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Last Update Date | 07/21/2021
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Provider Practice Location Address
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Address Line | 329 FORT WORTH AVE APT 1329329
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City | NORFOLK
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State | VA
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Zip | 23505-2633
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Country | US
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Telephone | 757-776-7484
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Fax |
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Provider Business Mailing Address
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Address Line | 900 GRANBY ST STE 231
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City | NORFOLK
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State | VA
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Zip | 23510-2503
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Country | US
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Telephone | 757-776-7484
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. SHENIKA CHERELLE SMITH
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Credential |
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Telephone | 757-776-7484
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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 | 924763
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License Number State | VA
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