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General NPI Number Information
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NPI Number | 1609001767
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Entity Type | Organization
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Legal Business Name | HEALTHWAYS HOME HEALTH SERVICES, INC.
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Dates
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Enumeration Date | 05/19/2009
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Last Update Date | 08/21/2012
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Provider Practice Location Address
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Address Line | 34 EXECUTIVE PARK SUITE 212
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City | IRVINE
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State | CA
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Zip | 92614-6756
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Country | US
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Telephone | 949-724-8889
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Fax | 949-724-8881
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Provider Business Mailing Address
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Address Line | 34 EXECUTIVE PARK SUITE 212
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City | IRVINE
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State | CA
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Zip | 92614-6756
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Country | US
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Telephone | 949-724-8889
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Fax | 949-724-8881
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | LESLIE JAMLANG
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Credential |
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Telephone | 949-724-8889
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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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