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General NPI Number Information
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NPI Number | 1467631887
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Entity Type | Organization
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Legal Business Name | A-1 HOME HEALTH SERVICES, INC.
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Dates
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Enumeration Date | 11/01/2007
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Last Update Date | 06/08/2012
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Provider Practice Location Address
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Address Line | 1407 KUEHNER DR
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City | SIMI VALLEY
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State | CA
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Zip | 93063-4478
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Country | US
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Telephone | 805-584-8146
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Fax | 805-584-9424
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Provider Business Mailing Address
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Address Line | 1407 KEUHER DRIVE
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City | SIMI VALLEY
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State | CA
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Zip | 93063-4478
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Country | US
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Telephone | 805-584-8146
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Fax | 805-584-9424
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Authorized Official
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Title or Position | SECRETARY OF THE BOARD OF DIRECTORS
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Name | LEEANN LOGAN
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Credential |
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Telephone | 805-584-8146
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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 | 050000563
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License Number State | CA
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