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General NPI Number Information
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NPI Number | 1730472333
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Entity Type | Organization
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Legal Business Name | ST. THERESE HEALTHCARE, INC.
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Dates
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Enumeration Date | 05/16/2011
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Last Update Date | 05/11/2021
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Provider Practice Location Address
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Address Line | 3680 GRANT DR STE B
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City | RENO
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State | NV
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Zip | 89509-5369
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Country | US
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Telephone | 775-355-8800
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Fax | 775-355-8802
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Provider Business Mailing Address
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Address Line | 3680 GRANT DR STE B
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City | RENO
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State | NV
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Zip | 89509-5369
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Country | US
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Telephone | 775-355-8800
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Fax | 775-355-8802
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Authorized Official
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Title or Position | ADMINISTRATOR / CEO
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Name | MS. MONETTE OLIVA WILDAY
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Credential |
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Telephone | 775-355-8800
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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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