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General NPI Number Information
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NPI Number | 1871105304
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Entity Type | Organization
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Legal Business Name | LIVING AT HOME HEALTH SERVICES LLC
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Dates
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Enumeration Date | 08/17/2020
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Last Update Date | 08/17/2020
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Provider Practice Location Address
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Address Line | 818 HIGH ST STE 5
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City | CHESTERTOWN
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State | MD
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Zip | 21620-1152
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Country | US
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Telephone | 410-778-2212
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Fax | 410-778-2249
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Provider Business Mailing Address
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Address Line | PO BOX 101
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City | CRUMPTON
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State | MD
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Zip | 21628-0101
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Country | US
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Telephone | 410-778-2212
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Fax | 410-778-2249
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | JULIE DELCIOTTO
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Credential |
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Telephone | 410-778-2212
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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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