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General NPI Number Information
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NPI Number | 1316481641
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Entity Type | Organization
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Legal Business Name | SAFE HARBOR SENIOR SERVICES
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Dates
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Enumeration Date | 12/06/2016
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Last Update Date | 12/06/2016
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Provider Practice Location Address
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Address Line | 4740 GREEN RIVER RD # 117E
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City | CORONA
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State | CA
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Zip | 92880
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Country | US
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Telephone | 951-667-1747
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Fax | 951-667-1973
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Provider Business Mailing Address
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Address Line | 4740 GREEN RIVER RD # 117E
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City | CORONA
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State | CA
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Zip | 92880
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MICHAEL ROBIRDS
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Credential |
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Telephone | 951-667-1747
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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 | 334700028
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License Number State | CA
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