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General NPI Number Information
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NPI Number | 1962089367
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Entity Type | Organization
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Legal Business Name | SWEET LOVE HOME CARE AGENCY INC.
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Dates
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Enumeration Date | 03/24/2021
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Last Update Date | 04/26/2022
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Provider Practice Location Address
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Address Line | 17070 SOUTH PARK AVE,
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City | SOUTH HOLLAND
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State | IL
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Zip | 60473-6047
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Country | US
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Telephone | 229-177-3561
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Fax |
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Provider Business Mailing Address
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Address Line | 17070 SOUTH PARK AVE,
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City | SOUTH HOLLAND
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State | IL
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Zip | 60473-1735
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Country | US
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Telephone | 117-735-6182
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | FELICITE FOSTER
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Credential |
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Telephone | 708-913-4003
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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