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General NPI Number Information
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NPI Number | 1588222087
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Entity Type | Organization
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Legal Business Name | A HOMECARE SERVICES, INC
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Dates
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Enumeration Date | 05/31/2019
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Last Update Date | 06/13/2019
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Provider Practice Location Address
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Address Line | 4193 FLAT ROCK ROAD BUILDING 200 SUITE 206
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City | RIVERSIDE
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State | CA
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Zip | 92505
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Country | US
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Telephone | 951-653-7004
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Fax | 951-710-9880
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Provider Business Mailing Address
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Address Line | 4193 FLAT ROCK ROAD BUILDING 200 SUITE 206
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City | RIVERSIDE
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State | CA
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Zip | 92505
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Country | US
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Telephone | 951-653-7004
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Fax | 951-710-9880
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | AUBREY SANGALANG
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Credential |
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Telephone | 951-653-7004
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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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