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General NPI Number Information
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NPI Number | 1881609436
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Entity Type | Organization
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Legal Business Name | NEW HAVEN HOME HEALTH SERVICES, INC.
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Dates
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Enumeration Date | 07/30/2006
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Last Update Date | 08/27/2014
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Provider Practice Location Address
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Address Line | 333 GELLERT BLVD SUITE 249
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City | DALY CITY
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State | CA
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Zip | 94015-2621
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Country | US
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Telephone | 650-301-1660
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Fax | 650-301-1663
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Provider Business Mailing Address
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Address Line | 333 GELLERT BLVD SUITE 249
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City | DALY CITY
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State | CA
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Zip | 94015-2621
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Country | US
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Telephone | 650-301-1660
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Fax | 650-301-1663
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Authorized Official
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Title or Position | CEO/ADMINISTRATOR
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Name | MS. EUNICE DOMINGO BEJAR-LEE
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Credential | RN,BSN, CHA
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Telephone | 650-301-1660
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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 | 05D0996164
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License Number State | CA
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