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NPI 1801956966

NPI 1801956966 : SUNLIFE HOME CARE SERVICES, INC. : TUCSON, AZ

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General NPI Number Information
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    NPI Number           |    1801956966
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    Entity Type          |    Organization 
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    Legal Business Name  |    SUNLIFE HOME CARE SERVICES, INC. 
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Dates
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    Enumeration Date     |    12/11/2006
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    Last Update Date     |    08/22/2020
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Provider Practice Location Address
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    Address Line         |    4525 E SKYLINE DR SUITE 105
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    City                 |    TUCSON
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    State                |    AZ
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    Zip                  |    85718-1666
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    Country              |    US
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    Telephone            |    520-888-1311
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    4525 E SKYLINE DR SUITE 105
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    City                 |    TUCSON
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    State                |    AZ
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    Zip                  |    85718-1666
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    Country              |    US
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    Telephone            |    520-888-1311
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    Fax                  |    
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Authorized Official
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    Title or Position    |    SENIOR SERVICE COORDINATOR
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    Name                 |     DENISE  COOPER 
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    Credential           |    
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    Telephone            |    520-888-1311
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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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