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NPI Code Detail

MEDICARE: ADVANCE CARE HOME HEALTH AGENCY INC

MEDICARE: ADVANCE CARE HOME HEALTH AGENCY 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 Agency

General Provider Information

NPI Number : 1497131650
Entity Type Code : Organization
Provider Name (Legal Business Name) : ADVANCE CARE HOME HEALTH AGENCY INC
Provider Business Mailing Address
First Line : 805 N CENTRAL AVE
Second Line :
City : GLENDALE
State : CA
Zip : 91203-1230
Country : US
Telephone Number : 818-937-9257
Fax Number : 888-893-9878
Provider Business Practice Location Address
First Line : 805 N CENTRAL AVE
Second Line :
City : GLENDALE
State : CA
Zip : 91203-1230
Country : US
Telephone Number : 818-937-9257
Fax Number : 888-893-9878
Authorized Official
Title or Position : CEO
Name : NAIRA DANIELYAN
Credential :
Telephone Number : 818-937-9257
Provider Enumeration Date : 08/10/2015
Last Update Date : 08/10/2015

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Directions to “ADVANCE CARE HOME HEALTH AGENCY INC ” Practice Location

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