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General NPI Number Information
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NPI Number | 1326760158
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Entity Type | Organization
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Legal Business Name | OHANA HOME HEALTH LLC
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Dates
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Enumeration Date | 09/19/2022
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Last Update Date | 09/19/2022
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Provider Practice Location Address
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Address Line | 3075 VICTOR AVE
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City | REDDING
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State | CA
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Zip | 96002-1450
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Country | US
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Telephone | 480-404-3306
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Fax |
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Provider Business Mailing Address
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Address Line | 3075 VICTOR AVE
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City | REDDING
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State | CA
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Zip | 96002-1450
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Country | US
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Telephone | 530-230-5730
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Fax | 530-230-5730
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Authorized Official
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Title or Position | DIRECTOR OF PATIENT CARE DESIGNEE
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Name | ROSELYN MANALO MCCORMACK
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Credential |
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Telephone | 480-404-3306
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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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