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General NPI Number Information
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NPI Number | 1295979326
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Entity Type | Organization
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Legal Business Name | HOME CARE CASA RHODA #2, INC.
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Dates
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Enumeration Date | 04/20/2009
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Last Update Date | 04/20/2009
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Provider Practice Location Address
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Address Line | 165 SANTA ANA AVENUE
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City | SANTA BARBARA
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State | CA
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Zip | 93111
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Country | US
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Telephone | 805-964-4236
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Fax | 805-696-6473
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Provider Business Mailing Address
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Address Line | 165 SANTA ANA AVENUE
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City | SANTA BARBARA
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State | CA
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Zip | 93111
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Country | US
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Telephone | 805-964-4236
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Fax | 805-696-6473
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Authorized Official
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Title or Position | LICENSE/ADMINISTRATOR/OWNER
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Name | MRS. NORMA BLANCAFLOR DEMONTEVERDE
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Credential |
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Telephone | 805-964-4236
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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 | 425800783
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License Number State | CA
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