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General NPI Number Information
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NPI Number | 1386834174
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Entity Type | Organization
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Legal Business Name | HOLISTIC CARE HOME HEALTH AGENCY, INC
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Dates
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Enumeration Date | 07/27/2007
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Last Update Date | 06/28/2016
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Provider Practice Location Address
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Address Line | 700 N. BRAND BLVD STE: 220
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City | GLENDALE
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State | CA
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Zip | 91203
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Country | US
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Telephone | 818-755-8800
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Fax | 818-755-8808
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Provider Business Mailing Address
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Address Line | 700 N. BRAND BLVD, STE: 220
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City | GLENDALE
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State | CA
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Zip | 91203
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Country | US
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Telephone | 818-755-8800
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Fax | 818-755-8808
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | ERIKA RENDON
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Credential |
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Telephone | 818-755-8800
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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 | 550001040
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License Number State | CA
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