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General NPI Number Information
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NPI Number | 1942450101
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Entity Type | Organization
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Legal Business Name | SENIOR SERVICES PLUS HEALTH CARE, INC.
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Dates
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Enumeration Date | 09/24/2008
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Last Update Date | 06/20/2013
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Provider Practice Location Address
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Address Line | 120 N CROSBY AVE
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City | JANESVILLE
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State | WI
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Zip | 53548-3375
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Country | US
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Telephone | 608-373-3390
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Fax | 608-757-5948
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Provider Business Mailing Address
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Address Line | P.O. BOX 1676
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City | JANESVILLE
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State | WI
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Zip | 53547-1676
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Country | US
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Telephone | 608-373-3390
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Fax | 608-757-5948
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | SUSAN K MC KILLIPS
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Credential |
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Telephone | 608-373-3390
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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 | 1066
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License Number State | WI
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