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General NPI Number Information
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NPI Number | 1437504990
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Entity Type | Organization
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Legal Business Name | DESCANSO HOME HEALTH SERVICES
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Dates
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Enumeration Date | 05/03/2016
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Last Update Date | 02/27/2025
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Provider Practice Location Address
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Address Line | 408 S CITRUS AVE
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City | COVINA
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State | CA
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Zip | 91723-2927
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Country | US
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Telephone | 626-261-4835
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Fax | 626-841-7840
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Provider Business Mailing Address
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Address Line | 408 S CITRUS AVE
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City | COVINA
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State | CA
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Zip | 91723-2927
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Country | US
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Telephone | 626-261-4835
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Fax | 626-841-7840
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Authorized Official
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Title or Position | PRESIDENT
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Name | JORGE GARCIA
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Credential |
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Telephone | 909-519-2292
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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License Number |
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License Number State |
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Taxonomy #2
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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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