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General NPI Number Information
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NPI Number | 1699408518
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Entity Type | Organization
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Legal Business Name | SHORTSTAYRENTALS LLC
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Dates
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Enumeration Date | 07/07/2022
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Last Update Date | 07/07/2022
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Provider Practice Location Address
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Address Line | 25400 ALESSANDRO BLVD
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City | MORENO VALLEY
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State | CA
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Zip | 92553-4319
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Country | US
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Telephone | 951-750-0117
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Fax |
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Provider Business Mailing Address
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Address Line | 27882 DE LA VALLE DR
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City | MORENO VALLEY
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State | CA
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Zip | 92555-5917
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Country | US
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Telephone | 951-522-4918
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF PATIENT CARE SERVICES
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Name | GLENDA WELLINGTON
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Credential | RN
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Telephone | 951-522-4918
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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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