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General NPI Number Information
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NPI Number | 1972326718
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Entity Type | Organization
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Legal Business Name | PEACELOVING HOME HEALTH, INC
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Dates
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Enumeration Date | 10/31/2024
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Last Update Date | 10/31/2024
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Provider Practice Location Address
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Address Line | 1307 W 6TH ST STE 220C
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City | CORONA
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State | CA
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Zip | 92882-1642
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Country | US
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Telephone | 951-621-3600
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Fax | 951-621-3606
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Provider Business Mailing Address
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Address Line | 1307 W 6TH ST STE 220C
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City | CORONA
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State | CA
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Zip | 92882-1642
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Country | US
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Telephone | 951-621-3600
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Fax | 951-621-3606
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | SHEILA BOSSMAN-AGGREY
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Credential | RN
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Telephone | 951-621-3600
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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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