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NPI 1962919704

NPI 1962919704 : INTEGRITY HOME CARE OF OHIO : DAYTON, OH

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General NPI Number Information
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    NPI Number           |    1962919704
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    Entity Type          |    Organization 
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    Legal Business Name  |    INTEGRITY HOME CARE OF OHIO 
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Dates
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    Enumeration Date     |    01/02/2018
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    Last Update Date     |    07/06/2022
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Provider Practice Location Address
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    Address Line         |    926 W FAIRVIEW AVE 
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    City                 |    DAYTON
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    State                |    OH
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    Zip                  |    45406-2806
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    Country              |    US
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    Telephone            |    937-938-7019
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    Fax                  |    937-637-2004
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Provider Business Mailing Address
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    Address Line         |    926 W FAIRVIEW AVE 
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    City                 |    DAYTON
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    State                |    OH
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    Zip                  |    45406-2806
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    Country              |    US
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    Telephone            |    937-938-7019
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    Fax                  |    937-637-2004
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |    MR. LEROY TERRANCE GREENIDGE 
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    Credential           |    
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    Telephone            |    513-238-0456
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    374U00000X
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    Taxonomy Name        |    Home Health Aide
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    License Number       |    
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    License Number State |    OH
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