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General NPI Number Information
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NPI Number | 1932055324
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Entity Type | Organization
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Legal Business Name | HAVEN OF HOPE EVERYDAY CARE PROVIDERS
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Dates
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Enumeration Date | 03/07/2026
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Last Update Date | 03/07/2026
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Provider Practice Location Address
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Address Line | 900 30TH AVE S APT 430
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City | MOORHEAD
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State | MN
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Zip | 56560-2985
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Country | US
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Telephone | 609-532-5228
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Fax | 609-532-5228
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Provider Business Mailing Address
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Address Line | 900 30TH AVE S APT 430
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City | MOORHEAD
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State | MN
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Zip | 56560
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Country | US
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Telephone | 609-532-5228
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Fax | 609-532-5228
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Authorized Official
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Title or Position | CEO
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Name | MISS MENETTA RICHARDS
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Credential | CNA
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Telephone | 609-532-5228
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State |
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