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General NPI Number Information
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NPI Number | 1578015194
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Entity Type | Organization
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Legal Business Name | SILVER WINGS HOME CARE, INC.
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Dates
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Enumeration Date | 10/31/2016
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Last Update Date | 10/31/2016
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Provider Practice Location Address
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Address Line | 333 UNIVERSITY AVE STE 200
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City | SACRAMENTO
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State | CA
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Zip | 95825-6531
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Country | US
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Telephone | 916-330-0961
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Fax |
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Provider Business Mailing Address
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Address Line | 333 UNIVERSITY AVE STE 200
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City | SACRAMENTO
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State | CA
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Zip | 95825-6531
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Country | US
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Telephone | 916-330-0961
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Fax |
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | MR. JAMES EDMUND ADAMS SR.
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Credential | RN
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Telephone | 916-330-0961
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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 | CA
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