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General NPI Number Information
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NPI Number | 1669655486
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Entity Type | Organization
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Legal Business Name | JC HEALTH CARE SERVICES, INC.
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Dates
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Enumeration Date | 12/15/2007
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Last Update Date | 05/11/2022
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Provider Practice Location Address
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Address Line | 2315 KUEHNER DR SUITE 112
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City | SIMI VALLEY
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State | CA
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Zip | 93063-3900
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Country | US
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Telephone | 805-390-7165
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Fax | 805-823-6219
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Provider Business Mailing Address
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Address Line | 2315 KUEHNER DR SUITE 112
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City | SIMI VALLEY
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State | CA
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Zip | 93063-3900
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Country | US
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Telephone | 805-527-3527
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Fax | 805-527-3627
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Authorized Official
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Title or Position | CEO
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Name | ANNIE TRAM DARBY
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Credential |
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Telephone | 805-390-7428
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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 | 550001032
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License Number State | CA
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