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General NPI Number Information
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NPI Number | 1508895715
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Entity Type | Organization
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Legal Business Name | VALLEY HOME CARE, LLC
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Dates
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Enumeration Date | 07/01/2006
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Last Update Date | 03/02/2025
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Provider Practice Location Address
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Address Line | 23460 N 19TH AVE STE 150
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City | PHOENIX
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State | AZ
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Zip | 85027
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Country | US
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Telephone | 623-842-0900
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Fax | 623-842-0123
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Provider Business Mailing Address
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Address Line | 23460 N 19TH AVE STE 150
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City | PHOENIX
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State | AZ
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Zip | 85027-2166
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Country | US
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Telephone | 623-842-0900
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Fax | 623-842-0123
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | CLAUDINE T MANGA
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Credential |
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Telephone | 623-842-0900
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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 | HHA3923
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License Number State | AZ
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