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General NPI Number Information
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NPI Number | 1982951182
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Entity Type | Organization
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Legal Business Name | GAREDA LLC
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Dates
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Enumeration Date | 08/07/2012
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Last Update Date | 10/24/2023
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Provider Practice Location Address
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Address Line | 475 E 162ND ST STE 200
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City | SOUTH HOLLAND
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State | IL
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Zip | 60473-2259
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Country | US
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Telephone | 708-868-1300
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Fax | 708-868-4883
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Provider Business Mailing Address
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Address Line | 475 E 162ND ST STE 200
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City | SOUTH HOLLAND
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State | IL
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Zip | 60473-2259
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Country | US
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Telephone | 708-868-1300
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Fax | 708-868-4883
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Authorized Official
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Title or Position | CEO
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Name | MRS. ELLA GRAYS
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Credential |
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Telephone | 708-868-1300
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State |
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