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General NPI Number Information
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NPI Number | 1831564913
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Entity Type | Organization
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Legal Business Name | DESERT HOME HEALTH CARE INC.
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Dates
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Enumeration Date | 12/01/2015
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Last Update Date | 12/01/2015
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Provider Practice Location Address
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Address Line | 77810 LAS MONTANAS RD SUITE 202
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City | PALM DESERT
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State | CA
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Zip | 92211-4116
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Country | US
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Telephone | 760-200-8906
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Fax | 760-200-0182
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Provider Business Mailing Address
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Address Line | 77810 LAS MONTANAS RD. SUITE 202
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City | PALM DESERT
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State | CA
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Zip | 92211-4139
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Country | US
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Telephone | 760-200-8906
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Fax | 760-200-0182
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Authorized Official
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Title or Position | CEO/PRESIDENT
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Name | MRS. ELIZAVETA ANTONIAN
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Credential |
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Telephone | 760-200-8906
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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 | 043141
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License Number State | CA
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