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General NPI Number Information
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NPI Number | 1912166497
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Entity Type | Organization
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Legal Business Name | LIFETIME HOME HEALTH CARE CORP
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Dates
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Enumeration Date | 06/09/2008
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Last Update Date | 09/09/2024
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Provider Practice Location Address
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Address Line | 13335 SW 124TH ST STE 103
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City | MIAMI
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State | FL
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Zip | 33186-7513
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Country | US
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Telephone | 305-412-9070
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Fax | 305-412-7773
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Provider Business Mailing Address
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Address Line | 13335 SW 124TH ST STE 103
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City | MIAMI
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State | FL
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Zip | 33186-7513
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Country | US
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Telephone | 305-412-9070
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Fax | 305-412-9071
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | ALBERT CARLOS LEY JR.
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Credential |
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Telephone | 305-412-9070
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #2
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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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