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General NPI Number Information
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NPI Number | 1841673340
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Entity Type | Organization
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Legal Business Name | GRACE HOME CARE AND REHAB SERVICES, LLC
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Dates
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Enumeration Date | 07/01/2015
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Last Update Date | 07/01/2015
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Provider Practice Location Address
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Address Line | 24303 WALNUT ST STE 1
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City | NEWHALL
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State | CA
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Zip | 91321-2901
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Country | US
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Telephone | 407-924-4648
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Fax |
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Provider Business Mailing Address
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Address Line | 24303 WALNUT ST STE 1
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City | NEWHALL
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State | CA
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Zip | 91321-2901
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Country | US
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Telephone | 407-924-4648
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | GIZELA GAW
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Credential |
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Telephone | 407-924-4648
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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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