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General NPI Number Information
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NPI Number | 1982008645
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Entity Type | Organization
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Legal Business Name | HEALING HANDS HOME CARE SERVICES, LLC
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Dates
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Enumeration Date | 10/09/2014
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Last Update Date | 10/09/2014
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Provider Practice Location Address
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Address Line | 208 KING PHILIP DR
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City | WEST HARTFORD
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State | CT
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Zip | 06117-1408
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Country | US
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Telephone | 860-233-6771
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Fax |
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Provider Business Mailing Address
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Address Line | 208 KING PHILIP DR
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City | WEST HARTFORD
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State | CT
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Zip | 06117-1408
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Country | US
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Telephone | 860-890-3329
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Fax |
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Authorized Official
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Title or Position | AFMINSTRATOR
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Name | MS. MERICE J HENDRIQUES-BRYAN
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Credential | RN
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Telephone | 860-890-3329
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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 | E47254
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License Number State | CT
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