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Organization
HOAG AT HOME LLC
Active
Organization
HOAG AT HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT DECKER PT (DORECTOR)
(949) 463-1510
Entity
Organization
Contact information
Practice address
4041 MACARTHUR BLVD STE 400, NEWPORT BEACH, CA 92660-2554
(949) 736-6100
Mailing address
4041 MACARTHUR BLVD STE 400, NEWPORT BEACH, CA 92660-2554
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
04/06/2021
Last updated
04/06/2021
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