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General NPI Number Information
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NPI Number | 1760111231
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Entity Type | Organization
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Legal Business Name | LA AHAVA HOME HEALTH INC
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Dates
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Enumeration Date | 06/08/2022
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Last Update Date | 06/03/2024
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Provider Practice Location Address
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Address Line | 1050 LAKES DRIVE STE 225 UNIT 218
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City | WEST COVINA
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State | CA
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Zip | 91790
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Country | US
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Telephone | 626-342-6921
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Fax | 888-800-1432
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Provider Business Mailing Address
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Address Line | PO BOX 3004
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City | COVINA
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State | CA
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Zip | 91722-9004
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Country | US
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Telephone | 574-786-6156
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Fax | 888-800-1432
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Authorized Official
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Title or Position | CEO
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Name | BELLE C NISHIMURA
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Credential |
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Telephone | 626-342-6921
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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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