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General NPI Number Information
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NPI Number | 1922691278
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Entity Type | Organization
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Legal Business Name | GREENWOOD HOUSE HEALTHCARE AND HOMEMAKER PROGRAM INC.
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Dates
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Enumeration Date | 02/18/2021
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Last Update Date | 02/18/2021
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Provider Practice Location Address
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Address Line | 25 SCOTCH RD STE G
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City | EWING
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State | NJ
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Zip | 08628-2500
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Country | US
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Telephone | 609-718-0562
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Fax |
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Provider Business Mailing Address
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Address Line | 53 WALTER ST
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City | EWING
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State | NJ
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Zip | 08628-3085
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Country | US
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Telephone | 609-883-5391
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Fax |
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Authorized Official
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Title or Position | ASSISTANT ADMINISTRATOR
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Name | DEBORAH SUSANNE HUNTER
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Credential | RN
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Telephone | 609-883-5391
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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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