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General NPI Number Information
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NPI Number | 1861451841
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Entity Type | Organization
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Legal Business Name | GIDDA'S HOME HEALTH SERVICES, INC.
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Dates
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Enumeration Date | 03/20/2006
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Last Update Date | 10/27/2021
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Provider Practice Location Address
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Address Line | 13351 HAWTHORNE BLVD
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City | HAWTHORNE
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State | CA
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Zip | 90250-5802
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Country | US
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Telephone | 310-644-0985
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Fax | 310-644-5566
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Provider Business Mailing Address
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Address Line | 13351 HAWTHORNE BLVD
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City | HAWTHORNE
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State | CA
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Zip | 90250-5802
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Country | US
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Telephone | 310-644-0985
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Fax | 310-644-5566
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Authorized Official
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Title or Position | PRESIDENT
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Name | MISS ISATU NENEH TIMBO
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Credential | RN
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Telephone | 310-644-0985
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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 | 980001490
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License Number State | CA
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