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General NPI Number Information
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NPI Number | 1932573789
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Entity Type | Organization
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Legal Business Name | RILEY AFFORDABLE HOME HEALTH CARE SERVICES
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Dates
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Enumeration Date | 11/17/2015
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Last Update Date | 11/17/2015
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Provider Practice Location Address
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Address Line | 118 3RD ST
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City | GREENVILLE
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State | SC
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Zip | 29611-6408
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Country | US
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Telephone | 864-484-4011
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Fax | 864-269-4023
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Provider Business Mailing Address
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Address Line | 118 3RD ST
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City | GREENVILLE
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State | SC
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Zip | 29611-6408
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Country | US
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Telephone | 864-484-4011
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Fax | 864-269-4023
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Authorized Official
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Title or Position | OWNER
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Name | MRS. ETHEL MAE AURORA CLEMENT-RILEY
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Credential |
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Telephone | 864-484-4011
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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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