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NPI Code Detail

MEDICARE: MAMLAKAH IN-HOME CARE LLC

MEDICARE: MAMLAKAH IN-HOME CARE 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 : 1831968940
Entity Type Code : Organization
Provider Name (Legal Business Name) : MAMLAKAH IN-HOME CARE LLC
Provider Business Mailing Address
First Line : 1800 STOKES ST APT 114
Second Line :
City : SAN JOSE
State : CA
Zip : 95126-4734
Country : US
Telephone Number : 408-509-3292
Fax Number :
Provider Business Practice Location Address
First Line : 1900 CAMDEN AVE STE 205-0
Second Line :
City : SAN JOSE
State : CA
Zip : 95124-2942
Country : US
Telephone Number : 408-509-3292
Fax Number :
Authorized Official
Title or Position : CHIEF ADMINISTRATOR/OWNER
Name : SULIANA ULUINAQARAVATU
Credential :
Telephone Number : 408-509-3292
Provider Enumeration Date : 12/29/2023
Last Update Date : 12/29/2023

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Directions to “MAMLAKAH IN-HOME CARE LLC ” Practice Location

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