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General NPI Number Information
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NPI Number | 1962318964
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Entity Type | Organization
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Legal Business Name | LOTUS HAVEN SERVICES LLC
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Dates
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Enumeration Date | 08/20/2026
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Last Update Date | 08/20/2026
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Provider Practice Location Address
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Address Line | 6934 MARIGOLD CT
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City | JOHNSTON
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State | IA
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Zip | 50131-2606
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Country | US
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Telephone | 515-238-6958
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Fax |
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Provider Business Mailing Address
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Address Line | 6934 MARIGOLD CT
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City | JOHNSTON
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State | IA
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Zip | 50131-2606
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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 | CEO
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Name | ALISHA MARIE HAMPE
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Credential | HAMPE
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Telephone | 515-238-6958
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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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