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General NPI Number Information
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NPI Number | 1750694642
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Entity Type | Organization
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Legal Business Name | PEACEFUL HEARTS HOME CARE INC
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Dates
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Enumeration Date | 07/20/2010
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Last Update Date | 01/21/2025
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Provider Practice Location Address
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Address Line | 1381 SALLIE JEFFERYS WAY
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City | CORONA
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State | CA
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Zip | 92881
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Country | US
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Telephone | 951-541-9343
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Fax |
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Provider Business Mailing Address
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Address Line | 387 MAGNOLIA AVE SUITE# 103
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City | CORONA
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State | CA
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Zip | 92879
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Country | US
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Telephone | 951-541-9343
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Fax | 949-266-9623
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Authorized Official
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Title or Position | OWNER
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Name | MR. BRIAN AARON MCKEE
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Credential |
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Telephone | 951-541-9343
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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