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General NPI Number Information
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NPI Number | 1972026961
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Entity Type | Organization
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Legal Business Name | ALTERNATIVE HOME CARE, LTD.
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Dates
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Enumeration Date | 07/21/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 634 N CASS AVE
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City | WESTMONT
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State | IL
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Zip | 60559-1384
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Country | US
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Telephone | 630-971-0778
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Fax | 630-971-0776
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Provider Business Mailing Address
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Address Line | 634 N CASS AVE
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City | WESTMONT
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State | IL
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Zip | 60559-1384
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Country | US
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Telephone | 630-971-0778
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Fax | 630-971-0776
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Authorized Official
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Title or Position | ASSISTANT DIRECTOR OF HOME CARE
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Name | MRS. ASTRID C. MANGULABNAN
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Credential |
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Telephone | 630-971-0778
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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 | 3000195
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License Number State | IL
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