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General NPI Number Information
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NPI Number | 1023218369
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Entity Type | Organization
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Legal Business Name | RESCARE HOME CARE
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Dates
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Enumeration Date | 07/24/2007
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Last Update Date | 07/24/2007
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Provider Practice Location Address
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Address Line | 3187 RED HILL AVE SUITE 115
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City | COSTA MESA
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State | CA
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Zip | 92626-3410
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Country | US
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Telephone | 800-707-8781
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Fax | 714-662-3087
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Provider Business Mailing Address
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Address Line | 3187 RED HILL AVE SUITE 115
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City | COSTA MESA
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State | CA
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Zip | 92626-3410
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Country | US
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Telephone | 800-707-8781
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Fax | 714-662-3087
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. MONICA BUSH
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Credential | MSW
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Telephone | 800-707-8781
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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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Taxonomy #2
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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