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General NPI Number Information
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NPI Number | 1144628249
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Entity Type | Organization
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Legal Business Name | BELMONT HOME CARE, INC.
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Dates
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Enumeration Date | 12/05/2014
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Last Update Date | 12/05/2014
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Provider Practice Location Address
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Address Line | 6541 FAIRLYNN BLVD
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City | YORBA LINDA
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State | CA
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Zip | 92886-6414
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Country | US
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Telephone | 714-833-4314
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Fax | 714-777-0247
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Provider Business Mailing Address
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Address Line | 6541 FAIRLYNN BLVD
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City | YORBA LINDA
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State | CA
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Zip | 92886-6414
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Country | US
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Telephone | 714-833-4314
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Fax | 714-777-0247
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Authorized Official
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Title or Position | PRESIDENT
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Name | ELIZABETH MULLINS
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Credential | CSA
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Telephone | 714-833-4314
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320700000X
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Taxonomy Name | Physical Disabilities Residential Treatment Facility
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License Number | 306003397
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License Number State | CA
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