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General NPI Number Information
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NPI Number | 1275089674
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Entity Type | Organization
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Legal Business Name | DAVIES HOME HEALTH CARE LLC, DBA SENIOR HELPERS
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Dates
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Enumeration Date | 08/26/2016
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Last Update Date | 08/26/2016
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Provider Practice Location Address
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Address Line | 7177 BROCKTON AVE SUITE 449
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City | RIVERSIDE
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State | CA
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Zip | 92506-2631
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Country | US
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Telephone | 951-248-0543
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Fax | 951-248-0561
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Provider Business Mailing Address
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Address Line | 7177 BROCKTON AVE SUITE 449
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City | RIVERSIDE
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State | CA
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Zip | 92506-2631
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Country | US
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Telephone | 951-248-0543
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Fax | 951-248-0561
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | CONSTANCE ANN GATES
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Credential |
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Telephone | 951-248-0543
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 334700068
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License Number State | CA
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