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NPI Code Detail

MEDICARE: NOAH'S DOVE LLC

MEDICARE: NOAH'S DOVE LLC
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
1253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1780566224
Entity Type Code : Organization
Provider Name (Legal Business Name) : NOAH'S DOVE LLC
Provider Business Mailing Address
First Line : 3050 BEACON BLVD STE 200
Second Line :
City : W SACRAMENTO
State : CA
Zip : 95691-3467
Country : US
Telephone Number : 916-237-8000
Fax Number :
Provider Business Practice Location Address
First Line : 3050 BEACON BLVD STE 200
Second Line :
City : W SACRAMENTO
State : CA
Zip : 95691-3467
Country : US
Telephone Number : 916-237-8000
Fax Number :
Authorized Official
Title or Position : ADMINISTRATOR
Name : TONI UHE
Credential :
Telephone Number : 916-237-8000
Provider Enumeration Date : 07/24/2025
Last Update Date : 07/24/2025

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Directions to “NOAH'S DOVE LLC ” Practice Location

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