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General NPI Number Information
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NPI Number | 1578218574
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Entity Type | Organization
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Legal Business Name | BEATITUDE HOME HEALTH CARE LLC
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Dates
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Enumeration Date | 02/17/2022
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Last Update Date | 02/17/2022
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Provider Practice Location Address
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Address Line | 5230 CLARK AVE STE 10
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City | LAKEWOOD
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State | CA
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Zip | 90712-2649
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Country | US
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Telephone | 562-269-4884
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Fax | 562-278-2720
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Provider Business Mailing Address
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Address Line | 5230 CLARK AVE STE 10
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City | LAKEWOOD
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State | CA
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Zip | 90712-2649
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Country | US
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Telephone | 310-343-1016
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Fax | 562-278-2720
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. JAMENICA REYES
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Credential | RN
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Telephone | 562-269-4884
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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 |
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License Number State |
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