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General NPI Number Information
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NPI Number | 1871141937
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Entity Type | Organization
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Legal Business Name | SKILLED HOME HEALTH, INC.
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Dates
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Enumeration Date | 08/30/2019
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Last Update Date | 08/17/2022
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Provider Practice Location Address
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Address Line | 8202 FLORENCE AVE STE 203
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City | DOWNEY
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State | CA
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Zip | 90240-3937
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Country | US
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Telephone | 562-450-1690
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Fax |
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Provider Business Mailing Address
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Address Line | 8221 3RD ST STE 201
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City | DOWNEY
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State | CA
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Zip | 90241-3735
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Country | US
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Telephone | 562-450-1690
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Fax |
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Authorized Official
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Title or Position | SECRETARY
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Name | MOISES BERCOVICH
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Credential |
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Telephone | 323-244-1360
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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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