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General NPI Number Information
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NPI Number | 1609281948
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Entity Type | Organization
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Legal Business Name | RIGHT AT HOME
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Dates
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Enumeration Date | 06/25/2014
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Last Update Date | 06/25/2014
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Provider Practice Location Address
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Address Line | 34664 COUNTY LINE RD SUITE 7
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City | YUCAIPA
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State | CA
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Zip | 92399-5309
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Country | US
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Telephone | 909-795-8838
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Fax | 909-795-8848
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Provider Business Mailing Address
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Address Line | 34664 COUNTY LINE RD SUITE 7
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City | YUCAIPA
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State | CA
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Zip | 92399-5309
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Country | US
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Telephone | 909-795-8838
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Fax | 909-795-8848
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Authorized Official
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Title or Position | ACCOUNTS MANAGER
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Name | KIM STIBBIE
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Credential |
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Telephone | 909-795-8838
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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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