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NPI 1275798134

NPI 1275798134 : OHANA HOMES INC. : CATHEDRAL CITY, CA

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General NPI Number Information
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    NPI Number           |    1275798134
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    Entity Type          |    Organization 
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    Legal Business Name  |    OHANA HOMES INC. 
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Dates
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    Enumeration Date     |    07/21/2008
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    Last Update Date     |    07/21/2008
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Provider Practice Location Address
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    Address Line         |    31033 DATE PALM DR 
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    City                 |    CATHEDRAL CITY
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    State                |    CA
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    Zip                  |    92234-3014
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    Country              |    US
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    Telephone            |    310-464-7969
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    31033 DATE PALM DR 
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    City                 |    CATHEDRAL CITY
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    State                |    CA
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    Zip                  |    92234-3014
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    Country              |    US
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    Telephone            |    310-464-7969
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT/CEO
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    Name                 |    MS. LINA R PHILIPP 
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    Credential           |    RN
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    Telephone            |    310-464-7969
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QA0600X
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    Taxonomy Name        |    Adult Day Care Clinic/Center
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    License Number       |    
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    License Number State |    
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