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General NPI Number Information
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NPI Number | 1891382594
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Entity Type | Organization
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Legal Business Name | HEALTH NURSE SERVICES ASSISTANT HOMEMAKER LLC
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Dates
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Enumeration Date | 12/29/2020
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Last Update Date | 12/29/2020
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Provider Practice Location Address
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Address Line | 3 CALLE BALDORIOTY LOWR
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City | SABANA GRANDE
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State | PR
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Zip | 00637-1823
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Country | US
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Telephone | 939-299-3703
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 217
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City | SABANA GRANDE
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State | PR
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Zip | 00637-0217
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Country | US
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Telephone | 939-299-3703
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | KIMBERLY A. AYALA
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Credential |
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Telephone | 939-299-3703
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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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