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General NPI Number Information
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NPI Number | 1669191573
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Entity Type | Organization
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Legal Business Name | HELENA HOME HEALTH CARE AGENCY
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Dates
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Enumeration Date | 08/24/2022
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Last Update Date | 05/31/2024
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Provider Practice Location Address
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Address Line | 1731 ROGERS PL APT P
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City | BURBANK
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State | CA
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Zip | 91504-3656
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Country | US
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Telephone | 716-796-8674
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Fax | 818-845-3695
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Provider Business Mailing Address
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Address Line | 570 STOCKBRIDGE AVE
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City | BUFFALO
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State | NY
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Zip | 14215-1708
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Country | US
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Telephone | 323-683-2414
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | PROF. CHASTITY HALINA HOUSTON
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Credential |
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Telephone | 323-683-2414
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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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