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General NPI Number Information
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NPI Number | 1962118349
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Entity Type | Organization
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Legal Business Name | ALPHA HOME CARE SERVICES LLC
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Dates
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Enumeration Date | 01/27/2023
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Last Update Date | 01/27/2023
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Provider Practice Location Address
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Address Line | 1908 SKYLINE DR N
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City | BURNSVILLE
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State | MN
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Zip | 55337-2928
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Country | US
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Telephone | 952-212-8981
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Fax |
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Provider Business Mailing Address
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Address Line | 1908 SKYLINE DR N
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City | BURNSVILLE
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State | MN
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Zip | 55337-2928
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Country | US
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Telephone | 952-212-8981
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Fax |
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Authorized Official
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Title or Position | ASSISTED LIVING DIRECTOR
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Name | MR. EMILLY ONDARA
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Credential |
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Telephone | 952-594-4862
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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