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General NPI Number Information
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NPI Number | 1659982320
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Entity Type | Organization
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Legal Business Name | 1ST AIDE HOME HEALTH AGENCY INC.
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Dates
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Enumeration Date | 08/14/2020
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Last Update Date | 05/14/2024
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Provider Practice Location Address
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Address Line | 9605 ARROW RTE STE S
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91730-4555
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Country | US
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Telephone | 909-244-9732
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Fax | 909-294-5074
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Provider Business Mailing Address
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Address Line | 9605 ARROW RTE STE S
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91730-4555
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Country | US
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Telephone | 909-244-9732
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Fax | 909-294-5074
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Authorized Official
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Title or Position | CEO
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Name | ASHOK KHULLAR
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Credential |
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Telephone | 909-244-9732
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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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