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General NPI Number Information
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NPI Number | 1255254959
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Entity Type | Organization
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Legal Business Name | YUSHA HOME HEALTH CARE SERVICES LLC
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Dates
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Enumeration Date | 07/31/2026
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Last Update Date | 07/31/2026
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Provider Practice Location Address
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Address Line | 120 W 5TH ST # 212
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City | TYLER
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State | TX
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Zip | 75701-4054
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Country | US
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Telephone | 903-944-5244
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Fax | 903-944-5244
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Provider Business Mailing Address
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Address Line | 120 W 5TH ST # 212
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City | TYLER
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State | TX
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Zip | 75701-4054
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Country | US
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Telephone | 903-944-5244
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Fax | 903-944-5244
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Authorized Official
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Title or Position | ADMINISRATOR
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Name | NEDRA FAYE WILSON
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Credential |
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Telephone | 903-944-5244
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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