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General NPI Number Information
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NPI Number | 1952632226
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Entity Type | Organization
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Legal Business Name | L'CHA HOMECARE, INC
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Dates
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Enumeration Date | 01/26/2010
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Last Update Date | 01/26/2010
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Provider Practice Location Address
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Address Line | 329 OAK ST SUITE 201
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City | GAINESVILLE
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State | GA
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Zip | 30501-3599
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Country | US
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Telephone | 678-807-2220
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Fax | 678-807-2226
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Provider Business Mailing Address
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Address Line | 329 OAK ST SUITE 201
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City | GAINESVILLE
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State | GA
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Zip | 30501-3599
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Country | US
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Telephone | 678-807-2220
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Fax | 678-807-2226
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Authorized Official
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Title or Position | DIRECTOR OF OPERATION
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Name | JOSEPH J WALSH
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Credential |
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Telephone | 678-807-2220
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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 | 069-R-0397
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License Number State | GA
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