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General NPI Number Information
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NPI Number | 1932682788
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Entity Type | Organization
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Legal Business Name | 1ST OPTION SENIORS DAY HEALTCARE, INC
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Dates
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Enumeration Date | 09/07/2018
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Last Update Date | 09/07/2018
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Provider Practice Location Address
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Address Line | 6111 HARRISON STREET SUITE 225
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City | MERRILLVILLE
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State | IN
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Zip | 46410
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Country | US
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Telephone | 219-455-6259
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Fax | 219-455-6318
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Provider Business Mailing Address
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Address Line | 6111 HARRISON STREET, P.O. BOX 11447 SUITE 225
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City | MERRILLVILLE
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State | IN
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Zip | 46410
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Country | US
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Telephone | 219-455-6259
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Fax | 219-455-6318
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. WILLY ORIE OKWARA
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Credential |
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Telephone | 219-455-6259
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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