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General NPI Number Information
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NPI Number | 1952854226
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Entity Type | Organization
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Legal Business Name | HOME TO YOU
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Dates
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Enumeration Date | 08/03/2016
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Last Update Date | 05/20/2019
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Provider Practice Location Address
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Address Line | 677 S DIAMOND ST
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City | RAVENNA
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State | OH
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Zip | 44266-2877
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Country | US
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Telephone | 330-850-5275
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Fax | 330-578-9064
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Provider Business Mailing Address
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Address Line | 677 S DIAMOND ST
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City | RAVENNA
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State | OH
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Zip | 44266-2877
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Country | US
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Telephone | 330-850-5275
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Fax | 330-578-9064
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Authorized Official
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Title or Position | CEO
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Name | MS. MICHELLE R MILLER
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Credential | RN BSN
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Telephone | 330-850-5275
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 6704865
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License Number State | OH
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