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NPI 1093852212

NPI 1093852212 : ALLIANCE HOME HEALTH CARE, INC. : KANSAS CITY, KS

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General NPI Number Information
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    NPI Number           |    1093852212
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    Entity Type          |    Organization 
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    Legal Business Name  |    ALLIANCE HOME HEALTH CARE, INC. 
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Dates
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    Enumeration Date     |    01/30/2007
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    Last Update Date     |    04/04/2014
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Provider Practice Location Address
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    Address Line         |    1831 MINNESOTA AVE 
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    City                 |    KANSAS CITY
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    State                |    KS
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    Zip                  |    66102-4139
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    Country              |    US
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    Telephone            |    913-233-0160
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    Fax                  |    913-233-0165
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Provider Business Mailing Address
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    Address Line         |    1831 MINNESOTA AVE 
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    City                 |    KANSAS CITY
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    State                |    KS
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    Zip                  |    66102-4139
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    Country              |    US
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    Telephone            |    913-233-0160
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    Fax                  |    913-233-0165
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Authorized Official
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    Title or Position    |    C.O.O.
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    Name                 |    MR. JORDAN  VAN RY 
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    Credential           |    
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    Telephone            |    913-233-0160
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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       |    A105045
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    License Number State |    KS
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