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General NPI Number Information
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NPI Number | 1962833517
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Entity Type | Organization
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Legal Business Name | 1ST CARE HEALTH AND HOME CARE SERVICES
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Dates
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Enumeration Date | 12/09/2013
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Last Update Date | 12/09/2013
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Provider Practice Location Address
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Address Line | 429 N WEBER RD STE 256
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City | ROMEOVILLE
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State | IL
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Zip | 60446-3902
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Country | US
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Telephone | 877-723-0068
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Fax |
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Provider Business Mailing Address
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Address Line | 69 ADLER CREEK AVENUE
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City | BOLLINGBROOK
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State | IL
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Zip | 60446
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Country | US
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Telephone | 815-260-6253
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MRS. ESTER OKWUDILI CHUKWURAH
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Credential |
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Telephone | 815-260-6253
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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 |
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License Number State |
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Taxonomy #2
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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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