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General NPI Number Information
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NPI Number | 1528545365
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Entity Type | Organization
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Legal Business Name | ALLIANCE HOME CARE AND SENIOR SERVICES, LLC
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Dates
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Enumeration Date | 07/24/2018
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Last Update Date | 07/24/2018
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Provider Practice Location Address
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Address Line | 8945 W POST RD STE 100A
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City | LAS VEGAS
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State | NV
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Zip | 89148-2430
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Country | US
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Telephone | 725-266-4664
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Fax | 725-266-4667
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Provider Business Mailing Address
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Address Line | 2554 HIGHLAND CLIFF DR
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City | HENDERSON
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State | NV
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Zip | 89052-2880
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Country | US
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Telephone | 702-502-1096
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Fax | 725-266-4667
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. ERNESTO ABRENICA
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Credential | RN
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Telephone | 702-502-1096
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 8816-PCS-0
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License Number State | NV
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