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General NPI Number Information
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NPI Number | 1932647898
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Entity Type | Organization
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Legal Business Name | LATONA HOME HEALTH SERVICES LLC
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Dates
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Enumeration Date | 02/10/2017
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Last Update Date | 02/10/2017
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Provider Practice Location Address
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Address Line | 41 SOUTH MAIN ST
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City | PITTSTON
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State | PA
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Zip | 18640
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Country | US
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Telephone | 570-237-0284
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Fax |
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Provider Business Mailing Address
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Address Line | 9 CAREY LANE
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City | PITTSTON
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State | PA
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Zip | 18640
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Country | US
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Telephone | 570-237-0284
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Fax |
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Authorized Official
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Title or Position | LPN/OWNER
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Name | JOY MARIE LOMBARDO
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Credential | LPN
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Telephone | 570-237-0284
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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 | 06480501
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License Number State | PA
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