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General NPI Number Information
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NPI Number | 1780058602
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Entity Type | Organization
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Legal Business Name | HOSANA HOME HEALTH CARE SERVICES, LLC
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Dates
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Enumeration Date | 11/16/2015
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Last Update Date | 01/29/2019
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Provider Practice Location Address
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Address Line | 215 BULLENS LN
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City | WOODLYN
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State | PA
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Zip | 19094-2001
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Country | US
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Telephone | 484-768-6963
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Fax | 484-423-3401
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Provider Business Mailing Address
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Address Line | 215 BULLENS LN
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City | WOODLYN
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State | PA
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Zip | 19094-2001
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Country | US
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Telephone | 484-768-6963
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Fax | 215-689-1928
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Authorized Official
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Title or Position | CEO
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Name | DAVID NDUNDA KITONGA
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Credential |
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Telephone | 484-768-6963
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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 | 23493601
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License Number State | PA
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