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NPI 1104305036

NPI 1104305036 : UNISON INLAND HEALTH SERVICES INC. : ONTARIO, CA

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General NPI Number Information
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    NPI Number           |    1104305036
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    Entity Type          |    Organization 
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    Legal Business Name  |    UNISON INLAND HEALTH SERVICES INC. 
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Dates
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    Enumeration Date     |    08/10/2018
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    Last Update Date     |    02/17/2025
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Provider Practice Location Address
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    Address Line         |    800 N HAVEN AVE STE 230 
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    City                 |    ONTARIO
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    State                |    CA
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    Zip                  |    91764-4951
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    Country              |    US
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    Telephone            |    909-850-4833
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    Fax                  |    855-599-8934
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Provider Business Mailing Address
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    Address Line         |    800 N HAVEN AVE STE 230 
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    City                 |    ONTARIO
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    State                |    CA
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    Zip                  |    91764-4951
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    Country              |    US
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    Telephone            |    909-850-4833
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    Fax                  |    855-599-8934
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Authorized Official
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    Title or Position    |    PRESIDENT/CEO
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    Name                 |    MR. CHRISTOPHER  TRIMBLE 
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    Credential           |    
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    Telephone            |    951-850-4833
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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 |    CA
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