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General NPI Number Information
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NPI Number | 1205370467
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Entity Type | Organization
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Legal Business Name | LUZ HOME HEALTH CARE INC.
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Dates
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Enumeration Date | 12/07/2016
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Last Update Date | 03/18/2024
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Provider Practice Location Address
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Address Line | 2701 E GAGE AVE STE 203
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City | HUNTINGTON PARK
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State | CA
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Zip | 90255-5491
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Country | US
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Telephone | 323-636-3932
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Fax | 323-553-9106
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Provider Business Mailing Address
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Address Line | 2701 E GAGE AVE STE 203
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City | HUNTINGTON PARK
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State | CA
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Zip | 90255-5491
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Country | US
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Telephone | 323-636-3932
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR/OWNER
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Name | LUZ AVALOS
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Credential |
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Telephone | 323-636-3932
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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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