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NPI Code Detail

MEDICARE: REHABFOCUS HOME HEALTH, INC.

MEDICARE: REHABFOCUS HOME HEALTH, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency040000426CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1184896193
Entity Type Code : Organization
Provider Name (Legal Business Name) : REHABFOCUS HOME HEALTH, INC.
Provider Business Mailing Address
First Line : 3340 TULLY RD
Second Line : SUITE C-8A
City : MODESTO
State : CA
Zip : 95350-0838
Country : US
Telephone Number : 209-524-8700
Fax Number : 209-524-8701
Provider Business Practice Location Address
First Line : 377 W. FALLBROOK AVENUE
Second Line : SUITE 206
City : FRESNO
State : CA
Zip : 93711-6277
Country : US
Telephone Number : 559-432-2257
Fax Number : 559-432-2469
Authorized Official
Title or Position : SECRETARY/TREASURER
Name : MR. JOHN VINCENT O'SULLIVAN JR.
Credential : PT
Telephone Number : 209-524-8700
Provider Enumeration Date : 03/31/2008
Last Update Date : 02/05/2013

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Directions to “REHABFOCUS HOME HEALTH, INC. ” Practice Location

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