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General NPI Number Information
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NPI Number | 1346128816
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Entity Type | Organization
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Legal Business Name | 365 HOME CARE
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Dates
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Enumeration Date | 08/23/2025
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Last Update Date | 08/28/2025
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Provider Practice Location Address
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Address Line | 10225 AUSTIN DR STE 208
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City | SPRING VALLEY
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State | CA
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Zip | 91978-1522
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Country | US
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Telephone | 619-439-7289
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Fax |
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Provider Business Mailing Address
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Address Line | 10225 AUSTIN DR STE 208
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City | SPRING VALLEY
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State | CA
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Zip | 91978-1522
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Country | US
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Telephone | 858-828-6121
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Fax |
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Authorized Official
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Title or Position | HR SPECIALIST
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Name | TEMITOPE OWOLABI
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Credential |
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Telephone | 858-828-6121
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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