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General NPI Number Information
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NPI Number | 1972621399
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Entity Type | Organization
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Legal Business Name | INFINITE CARE HOME HEALTH SERVICES INC
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Dates
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Enumeration Date | 03/26/2007
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Last Update Date | 01/21/2010
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Provider Practice Location Address
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Address Line | 3126 MILTON RD SUITE 217
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City | CHARLOTTE
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State | NC
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Zip | 28215-3778
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Country | US
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Telephone | 704-566-3737
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Fax | 704-566-3736
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Provider Business Mailing Address
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Address Line | 10888 ROCK COAST RD
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City | COLUMBIA
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State | MD
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Zip | 21044-2734
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Country | US
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Telephone | 202-374-5088
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Fax |
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Authorized Official
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Title or Position | CEO EXECUTIVE DIRECTOR
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Name | MS. CHIQUANA L MCBRIDE
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Credential |
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Telephone | 202-374-5088
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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 | HC3620
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License Number State | NC
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