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General NPI Number Information
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NPI Number | 1043788805
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Entity Type | Organization
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Legal Business Name | JALAN HOME HEALTH INC
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Dates
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Enumeration Date | 11/08/2018
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Last Update Date | 11/08/2018
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Provider Practice Location Address
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Address Line | 1966 E RANCHO CULEBRA DR
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City | COVINA
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State | CA
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Zip | 91724-3328
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Country | US
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Telephone | 626-673-1266
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Fax | 800-790-9087
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Provider Business Mailing Address
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Address Line | 1966 E RANCHO CULEBRA DR
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City | COVINA
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State | CA
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Zip | 91724-3328
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Country | US
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Telephone | 626-673-1266
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Fax | 800-790-9087
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Authorized Official
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Title or Position | DPCS/ADMINISTRATOR
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Name | MRS. LEILANI S ILEDAN
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Credential | REGISTERED NURSE
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Telephone | 626-673-1266
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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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