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NPI 1538627880

NPI 1538627880 : MONARCH HOMECARE SERVICES, INC : ALTA LOMA, CA

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General NPI Number Information
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    NPI Number           |    1538627880
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    Entity Type          |    Organization 
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    Legal Business Name  |    MONARCH HOMECARE SERVICES, INC 
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Dates
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    Enumeration Date     |    03/06/2019
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    Last Update Date     |    03/06/2019
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Provider Practice Location Address
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    Address Line         |    11810 MOUNT GUNNISON CT 
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    City                 |    ALTA LOMA
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    State                |    CA
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    Zip                  |    91737-7919
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    Country              |    US
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    Telephone            |    415-299-4007
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    11810 MOUNT GUNNISON CT 
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    City                 |    ALTA LOMA
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    State                |    CA
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    Zip                  |    91737-7919
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    Country              |    US
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    Telephone            |    415-299-4007
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     DANIEL  CHAVEZ 
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    Credential           |    
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    Telephone            |    415-299-5115
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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       |    
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    License Number State |    
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