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NPI 1720892409

NPI 1720892409 : EVA GIRLS HEALTHCARE SERVICES, UNLIMITED : HEMET, CA

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General NPI Number Information
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    NPI Number           |    1720892409
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    Entity Type          |    Organization 
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    Legal Business Name  |    EVA GIRLS HEALTHCARE SERVICES, UNLIMITED 
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Dates
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    Enumeration Date     |    02/04/2025
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    Last Update Date     |    02/04/2025
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Provider Practice Location Address
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    Address Line         |    3066 STATICE CT 
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    City                 |    HEMET
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    State                |    CA
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    Zip                  |    92545-8730
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    Country              |    US
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    Telephone            |    775-316-0458
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3066 STATICE CT 
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    City                 |    HEMET
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    State                |    CA
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    Zip                  |    92545-8730
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    Country              |    US
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    Telephone            |    775-316-0458
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    MS. VALERIE D HUBBARD 
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    Credential           |    
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    Telephone            |    775-316-0458
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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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Taxonomy #2
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    Taxonomy Code        |    310400000X
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    Taxonomy Name        |    Assisted Living Facility
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    License Number       |    
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    License Number State |    
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