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General NPI Number Information
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NPI Number | 1982969069
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Entity Type | Organization
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Legal Business Name | LIVINGWELL HOME HEALTHCARE AGENCY, LLC.
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Dates
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Enumeration Date | 07/05/2012
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Last Update Date | 04/05/2013
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Provider Practice Location Address
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Address Line | 1560 SAWGRASS PARKWAY 4 FLOOR
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City | SUNRISE
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State | FL
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Zip | 33023
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Country | US
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Telephone | 954-290-7515
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Fax | 954-252-2158
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Provider Business Mailing Address
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Address Line | 1560 SAWGRASS CORPORATE PKWY FOURTH FLOOR
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City | SUNRISE
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State | FL
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Zip | 33323-2858
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Country | US
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Telephone | 954-284-8425
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MRS. ZONA MCPHERSON-VINCENT
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Credential |
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Telephone | 954-290-7515
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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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