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General NPI Number Information
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NPI Number | 1912486507
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Entity Type | Organization
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Legal Business Name | DIVINE TOUCH HOME CARE SERVICES LLC
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Dates
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Enumeration Date | 08/14/2018
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Last Update Date | 08/14/2018
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Provider Practice Location Address
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Address Line | 116 N 50TH ST
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City | PHILADELPHIA
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State | PA
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Zip | 19139-2721
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Country | US
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Telephone | 484-343-7474
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Fax | 215-921-9343
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Provider Business Mailing Address
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Address Line | PO BOX 9154
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City | PHILADELPHIA
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State | PA
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Zip | 19139-9154
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Country | US
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Telephone | 484-343-7474
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Fax | 215-921-9343
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Authorized Official
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Title or Position | OWNER / PRESIDENT
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Name | CORDELIA TOKUNBO TALABI
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Credential |
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Telephone | 484-343-7474
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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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