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NPI Code Detail

MEDICARE: HALLWAY HEALTHCARE

MEDICARE: HALLWAY HEALTHCARE
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 Agency95050152CA

General Provider Information

NPI Number : 1922546605
Entity Type Code : Organization
Provider Name (Legal Business Name) : HALLWAY HEALTHCARE
Provider Business Mailing Address
First Line : 11501 DUBLIN BLVD STE 200
Second Line :
City : DUBLIN
State : CA
Zip : 94568-2827
Country : US
Telephone Number : 925-452-8745
Fax Number : 925-558-4487
Provider Business Practice Location Address
First Line : 11501 DUBLIN BLVD STE 200
Second Line :
City : DUBLIN
State : CA
Zip : 94568-2827
Country : US
Telephone Number : 925-452-8745
Fax Number : 925-558-4487
Authorized Official
Title or Position : CEO
Name : TIFFANY HALL
Credential :
Telephone Number : 925-494-5378
Provider Enumeration Date : 02/02/2017
Last Update Date : 02/02/2017

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Directions to “HALLWAY HEALTHCARE ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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