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NPI 1710375720

NPI 1710375720 : SAINT FRANCIS HEALTHCARE, INC. : LA MESA, CA

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General NPI Number Information
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    NPI Number           |    1710375720
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    Entity Type          |    Organization 
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    Legal Business Name  |    SAINT FRANCIS HEALTHCARE, INC. 
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Dates
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    Enumeration Date     |    12/27/2014
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    Last Update Date     |    12/09/2020
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Provider Practice Location Address
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    Address Line         |    5119 GARFIELD ST 
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    City                 |    LA MESA
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    State                |    CA
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    Zip                  |    91941-5103
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    Country              |    US
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    Telephone            |    619-439-7683
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    Fax                  |    619-439-7842
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Provider Business Mailing Address
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    Address Line         |    5119 GARFIELD ST 
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    City                 |    LA MESA
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    State                |    CA
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    Zip                  |    91941-5103
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    Country              |    US
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    Telephone            |    619-439-7683
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    Fax                  |    619-439-7842
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Authorized Official
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    Title or Position    |    ADMINISTRATOR/CEO/CFO/SEC
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    Name                 |     SUE CALAPUAN FORTUNO 
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    Credential           |    
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    Telephone            |    619-439-7683
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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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