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General NPI Number Information
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NPI Number | 1972894657
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Entity Type | Organization
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Legal Business Name | ROCKY HILL ADULT DAY CENTER AND IN HOME CARE LLC
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Dates
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Enumeration Date | 04/28/2011
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Last Update Date | 03/18/2020
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Provider Practice Location Address
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Address Line | 15 ELM ST
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City | ROCKY HILL
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State | CT
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Zip | 06067-2305
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Country | US
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Telephone | 860-372-4656
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Fax | 860-372-4676
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Provider Business Mailing Address
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Address Line | 15 ELM ST
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City | ROCKY HILL
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State | CT
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Zip | 06067-2305
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Country | US
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Telephone | 860-372-4656
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Fax | 860-372-4676
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | ELEONORA TATASHADZE
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Credential |
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Telephone | 860-372-4656
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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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