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NPI Code Detail

MEDICARE: EBEN HOME CARE, LLC

MEDICARE: EBEN HOME CARE, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1902032386
Entity Type Code : Organization
Provider Name (Legal Business Name) : EBEN HOME CARE, LLC
Provider Business Mailing Address
First Line : 2505 DOUG FORD DR
Second Line :
City : EL PASO
State : TX
Zip : 79935-2031
Country : US
Telephone Number : 907-770-6315
Fax Number : 907-770-1241
Provider Business Practice Location Address
First Line : 2505 DOUG FORD DR
Second Line :
City : EL PASO
State : TX
Zip : 79935-2031
Country : US
Telephone Number : 907-770-6315
Fax Number : 907-770-1241
Authorized Official
Title or Position : OWNER
Name : MS. MARIA DE LOS ANGELES DEAN
Credential :
Telephone Number : 907-770-6315
Provider Enumeration Date : 05/30/2009
Last Update Date : 05/30/2009

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Directions to “EBEN HOME CARE, LLC ” Practice Location

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