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General NPI Number Information
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NPI Number | 1942162482
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Entity Type | Organization
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Legal Business Name | PURPOSE OF LIFE HOMECARE LLC
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Dates
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Enumeration Date | 12/02/2025
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 1930 E BROWN RD
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City | MESA
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State | AZ
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Zip | 85203-5106
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Country | US
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Telephone | 575-216-4212
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Fax |
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Provider Business Mailing Address
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Address Line | 6300 RIVERSIDE PLAZA LN NW STE 118
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City | ALBUQUERQUE
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State | NM
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Zip | 87120-2617
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DEONDRALIQUE GREENE
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Credential |
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Telephone | 817-404-6150
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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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