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General NPI Number Information
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NPI Number | 1962887000
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Entity Type | Organization
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Legal Business Name | ASPEN PERSONAL CARE SERVICE LLC.
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Dates
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Enumeration Date | 07/29/2015
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 310 E HIGHWAY 200 SUITE 1
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City | CLARK FORK
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State | ID
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Zip | 83811
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Country | US
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Telephone | 208-266-1550
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Fax | 208-266-1530
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Provider Business Mailing Address
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Address Line | PO BOX 279 PO BOX 279
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City | CLARK FORK
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State | ID
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Zip | 83811-0279
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Country | US
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Telephone | 208-266-1550
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Fax | 866-308-0781
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Authorized Official
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Title or Position | CEO/MEMBER
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Name | SAUNDRA LEE SCARLETT
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Credential |
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Telephone | 208-266-1530
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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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 | 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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