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General NPI Number Information
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NPI Number | 1730481193
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Entity Type | Organization
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Legal Business Name | VALLEY CARE HOME HEALTH, INC.
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Dates
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Enumeration Date | 11/17/2010
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Last Update Date | 12/02/2024
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Provider Practice Location Address
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Address Line | 73271 FRED WARING DR STE 100
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City | PALM DESERT
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State | CA
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Zip | 92260-2883
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Country | US
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Telephone | 760-610-1964
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Fax | 760-610-5032
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Provider Business Mailing Address
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Address Line | 73271 FRED WARING DR STE 100
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City | PALM DESERT
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State | CA
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Zip | 92260-2883
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Country | US
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Telephone | 760-610-1964
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Fax | 760-610-5032
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | GILBERT C MWANSA
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Credential | RN
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Telephone | 714-943-6454
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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 | 550001629
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License Number State | CA
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