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General NPI Number Information
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NPI Number | 1295182830
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Entity Type | Organization
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Legal Business Name | PRO NURSING HOME CARE, INC.
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Dates
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Enumeration Date | 05/23/2016
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Last Update Date | 11/08/2023
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Provider Practice Location Address
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Address Line | 2201 MOUNT VERNON AVE STE 110
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City | BAKERSFIELD
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State | CA
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Zip | 93306-3312
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Country | US
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Telephone | 661-840-8721
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Fax | 661-885-6983
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Provider Business Mailing Address
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Address Line | 2201 MOUNT VERNON AVE STE 110
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City | BAKERSFIELD
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State | CA
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Zip | 93306-3312
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Country | US
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Telephone | 661-840-8721
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Fax | 661-885-6983
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Authorized Official
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Title or Position | CEO
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Name | JERRY RULSKY
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Credential |
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Telephone | 661-840-8721
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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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