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General NPI Number Information
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NPI Number | 1427298736
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Entity Type | Organization
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Legal Business Name | HIGH DESERT HOME CARE INC.
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Dates
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Enumeration Date | 02/26/2009
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Last Update Date | 02/26/2009
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Provider Practice Location Address
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Address Line | 19822 HAIDA ROAD
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City | APPLE VALLEY
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State | CA
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Zip | 92307-5572
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Country | US
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Telephone | 760-810-7161
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Fax | 760-810-7162
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Provider Business Mailing Address
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Address Line | HOMEWATCH CAREGIVERS 20160 HWY. 18 STE. G PMB # 198
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City | APPLE VALLEY
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State | CA
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Zip | 92307-2935
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Country | US
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Telephone | 760-810-7161
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Fax | 760-810-7162
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. SHARON BETH ABREU
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Credential |
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Telephone | 760-810-7161
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number | 00009739
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number | 00009739
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 00009739
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License Number State | CA
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