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General NPI Number Information
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NPI Number | 1669615068
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Entity Type | Organization
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Legal Business Name | J-SHALOM HOME HEALTH SERVICES INC
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Dates
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Enumeration Date | 04/14/2009
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Last Update Date | 08/07/2023
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Provider Practice Location Address
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Address Line | 1416 JUNCTION RUN
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City | MESQUITE
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State | TX
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Zip | 75181-4409
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Country | US
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Telephone | 469-592-2669
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Fax | 972-591-4589
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Provider Business Mailing Address
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Address Line | 1416 JUNCTION RUN
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City | MESQUITE
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State | TX
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Zip | 75181-4409
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Country | US
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Telephone | 469-592-2669
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Fax | 972-591-4589
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Authorized Official
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Title or Position | OWNER
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Name | MR. OKUNBOR ALFRED-IYAMU
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Credential |
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Telephone | 469-592-2669
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3747A0650X
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Taxonomy Name | Attendant Care Provider
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #5
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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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