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General NPI Number Information
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NPI Number | 1881678217
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Entity Type | Organization
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Legal Business Name | EXCELLENT CARE HOME HEALTH SERVICES, INC.
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Dates
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Enumeration Date | 11/30/2005
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Last Update Date | 10/16/2023
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Provider Practice Location Address
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Address Line | 13139 CENTRAL AVE STE G
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City | CHINO
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State | CA
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Zip | 91710-4126
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Country | US
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Telephone | 909-581-3536
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Fax | 909-581-3615
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Provider Business Mailing Address
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Address Line | 13139 CENTRAL AVE STE G
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City | CHINO
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State | CA
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Zip | 91710-4126
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Country | US
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Telephone | 909-581-3536
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Fax | 909-581-3615
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Authorized Official
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Title or Position | CEO
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Name | HELEN PAK
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Credential |
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Telephone | 714-227-9220
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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 | 240000852
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License Number State | CA
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