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General NPI Number Information
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NPI Number | 1750854451
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Entity Type | Organization
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Legal Business Name | MOBILE HOME HEALTH, INC.
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Dates
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Enumeration Date | 01/04/2019
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Last Update Date | 03/11/2020
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Provider Practice Location Address
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Address Line | 1771 E. FLAMINGO RD. SUITE 230-A
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City | LAS VEGAS
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State | NV
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Zip | 89119-5279
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Country | US
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Telephone | 702-209-2135
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Fax | 702-209-3504
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Provider Business Mailing Address
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Address Line | 1771 E. FLAMINGO RD. SUITE 230-A
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City | LAS VEGAS
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State | NV
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Zip | 89119-5279
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Country | US
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Telephone | 702-209-2135
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Fax | 702-209-3504
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | LEAH PARUNGAO
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Credential |
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Telephone | 702-290-1125
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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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