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General NPI Number Information
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NPI Number | 1003926544
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Entity Type | Organization
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Legal Business Name | HOMELAND HOME HEALTH AGENCY INC
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 06/12/2008
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Provider Practice Location Address
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Address Line | 1919 S SHILOH RD STE 515
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City | GARLAND
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State | TX
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Zip | 75042-8234
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Country | US
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Telephone | 972-278-7213
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Fax | 972-278-7163
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Provider Business Mailing Address
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Address Line | 1919 S SHILOH RD STE 515
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City | GARLAND
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State | TX
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Zip | 75042-8234
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Country | US
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Telephone | 972-278-7213
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Fax | 972-278-7163
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. JOSEPH KIMUNAI
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Credential | RN, BSN
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Telephone | 972-278-7213
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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 | 009865
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License Number State | TX
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