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General NPI Number Information
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NPI Number | 1912761164
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Entity Type | Organization
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Legal Business Name | OKELANI HOME HEALTHCARE LLC
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Dates
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Enumeration Date | 02/08/2024
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Last Update Date | 02/08/2024
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Provider Practice Location Address
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Address Line | 329 S STEVENSON ST
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City | OLATHE
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State | KS
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Zip | 66061-4738
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Country | US
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Telephone | 913-653-4124
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 4351
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City | OLATHE
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State | KS
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Zip | 66063-4351
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Country | US
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Telephone | 913-353-5411
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LINDA ACOSTA MEADOWS
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Credential |
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Telephone | 913-653-4124
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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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