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General NPI Number Information
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NPI Number | 1205142528
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Entity Type | Organization
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Legal Business Name | STEWARD HOME HEALTH AGENCY INC
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Dates
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Enumeration Date | 08/24/2010
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Last Update Date | 02/17/2023
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Provider Practice Location Address
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Address Line | 16446 WOODRUFF AVE STE B
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City | BELLFLOWER
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State | CA
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Zip | 90706-4975
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Country | US
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Telephone | 562-869-6723
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Fax | 562-869-9468
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Provider Business Mailing Address
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Address Line | 16446 WOODRUFF AVE STE B
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City | BELLFLOWER
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State | CA
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Zip | 90706-4975
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Country | US
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Telephone | 562-869-6723
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Fax | 562-869-9468
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Authorized Official
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Title or Position | ADMINISTRATOR/PRESIDENT
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Name | MARINA E PINK
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Credential | MBA
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Telephone | 818-468-7295
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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 | 550001708
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License Number State | CA
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