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General NPI Number Information
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NPI Number | 1881486678
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Entity Type | Organization
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Legal Business Name | SENIOR HOME CARE AGENCY
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Dates
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Enumeration Date | 05/19/2025
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Last Update Date | 05/19/2025
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Provider Practice Location Address
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Address Line | 1 MAIN ST STE 505
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City | TINTON FALLS
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State | NJ
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Zip | 07724-3903
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Country | US
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Telephone | 732-217-6775
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Fax | 855-251-6625
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Provider Business Mailing Address
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Address Line | 5 MEADOWS RUN DR
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City | COLTS NECK
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State | NJ
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Zip | 07722-2213
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Country | US
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Telephone | 732-217-6775
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Fax | 855-251-6625
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Authorized Official
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Title or Position | OWNER
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Name | SHAWNYA KING
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Credential |
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Telephone | 732-217-6775
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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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