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NPI 1386490076

NPI 1386490076 : HOLY TRINITY HOME HEALTH & PALLIATIVE CARE LLC : FRESNO, CA

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General NPI Number Information
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    NPI Number           |    1386490076
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    Entity Type          |    Organization 
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    Legal Business Name  |    HOLY TRINITY HOME HEALTH & PALLIATIVE CARE LLC 
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Dates
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    Enumeration Date     |    04/24/2024
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    Last Update Date     |    04/24/2024
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Provider Practice Location Address
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    Address Line         |    5616 N FRESNO ST STE 109 
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    City                 |    FRESNO
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    State                |    CA
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    Zip                  |    93710-6036
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    Country              |    US
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    Telephone            |    702-882-5632
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    5616 N FRESNO ST STE 109 
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    City                 |    FRESNO
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    State                |    CA
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    Zip                  |    93710-6036
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    Country              |    US
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    Telephone            |    702-882-5632
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    Fax                  |    
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Authorized Official
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    Title or Position    |    ADMINISTRATOR
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    Name                 |    MR. J ORVILLE  ARIAS 
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    Credential           |    
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    Telephone            |    702-882-5632
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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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