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General NPI Number Information
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NPI Number | 1891988705
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Entity Type | Organization
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Legal Business Name | ALL YOUR HOME HEALTH, INC.
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Dates
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Enumeration Date | 08/23/2007
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Last Update Date | 07/05/2016
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Provider Practice Location Address
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Address Line | 4335 W PIEDRAS DR SUITE 107
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City | SAN ANTONIO
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State | TX
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Zip | 78228-1215
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Country | US
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Telephone | 210-308-5511
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Fax | 210-308-5522
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Provider Business Mailing Address
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Address Line | 4335 W PIEDRAS DR SUITE 107
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City | SAN ANTONIO
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State | TX
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Zip | 78228-1215
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Country | US
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Telephone | 210-308-5511
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Fax | 210-308-5522
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. CLETUS CHIKEZIE OGBONNA
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Credential | RN, MBA
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Telephone | 210-308-5511
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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 | 011343
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License Number State | TX
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