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General NPI Number Information
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NPI Number | 1902358906
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Entity Type | Organization
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Legal Business Name | RESOLUTION HOME CARE AGENCY,LLC
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Dates
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Enumeration Date | 10/26/2016
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Last Update Date | 10/26/2016
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Provider Practice Location Address
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Address Line | 600 S MAIN ST SUITE 304
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City | ELKHART
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State | IN
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Zip | 46516-3248
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Country | US
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Telephone | 574-326-3386
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Fax | 574-333-2133
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Provider Business Mailing Address
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Address Line | 813 E CALVERT ST
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City | SOUTH BEND
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State | IN
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Zip | 46613-2907
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MRS. BEATRICE K SALATI
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Credential |
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Telephone | 574-367-1727
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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 | 16-014022-1
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License Number State | IN
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