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General NPI Number Information
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NPI Number | 1275009318
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Entity Type | Organization
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Legal Business Name | HOLY FAMILY HOME CARE INC.
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Dates
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Enumeration Date | 10/16/2018
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Last Update Date | 10/16/2018
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Provider Practice Location Address
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Address Line | 3235 DELNA DR
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City | SPARKS
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State | NV
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Zip | 89431-1406
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Country | US
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Telephone | 775-359-8972
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Fax |
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Provider Business Mailing Address
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Address Line | 3235 DELNA DR
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City | SPARKS
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State | NV
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Zip | 89431-1406
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Country | US
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Telephone | 775-359-8972
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MARILOU DEANG
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Credential |
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Telephone | 775-815-3768
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State |
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