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General NPI Number Information
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NPI Number | 1982893251
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Entity Type | Organization
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Legal Business Name | HOMECARE ASSIST, INC.
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Dates
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Enumeration Date | 10/23/2007
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Last Update Date | 10/23/2007
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Provider Practice Location Address
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Address Line | 12800 INDUSTRIAL PARK BLVD SUITE 250
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City | PLYMOUTH
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State | MN
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Zip | 55441-3974
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Country | US
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Telephone | 763-557-1126
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Fax | 763-559-2484
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Provider Business Mailing Address
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Address Line | 12800 INDUSTRIAL PARK BLVD SUITE 250
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City | PLYMOUTH
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State | MN
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Zip | 55441-3974
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Country | US
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Telephone | 763-557-1126
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Fax | 763-559-2484
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | JOANN LOUISE SANFORD
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Credential | RN
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Telephone | 763-557-1126
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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 | MN
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