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General NPI Number Information
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NPI Number | 1023762648
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Entity Type | Organization
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Legal Business Name | ELIXIR HOME HEALTH CARE & HOSPICE, INC.
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Dates
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Enumeration Date | 02/11/2022
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Last Update Date | 09/28/2022
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Provider Practice Location Address
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Address Line | 1604 FORD AVE SUITE 10
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City | MODESTO
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State | CA
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Zip | 95350-4631
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Country | US
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Telephone | 209-369-5110
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Fax |
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Provider Business Mailing Address
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Address Line | 851 BURLWAY RD SUITE 216
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City | BURLINGAME
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State | CA
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Zip | 94010-1709
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Country | US
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Telephone | 650-581-1359
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Fax | 650-581-1187
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Authorized Official
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Title or Position | CEO/PRESIDENT
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Name | MR. WARREN S DELFIN
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Credential |
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Telephone | 650-201-6025
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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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