MEDICARE: HELPING HANDS REHABILITATION CLINIC

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
1	324500000X	Substance Abuse Rehabilitation Facility	1843	CA

General Provider Information

NPI Number	:	1598242083
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HELPING HANDS REHABILITATION CLINIC

Provider Business Mailing Address
First Line	:	8714 SEPULVEDA BLVD
Second Line	:
City	:	NORTH HILLS
State	:	CA
Zip	:	91343-5112
Country	:	US
Telephone Number	:	818-830-0999
Fax Number	:	818-810-9120

Provider Business Practice Location Address
First Line	:	11335 POMELO DR
Second Line	:
City	:	DESERT HOT SPRINGS
State	:	CA
Zip	:	92240-3332
Country	:	US
Telephone Number	:	760-671-7918
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	SUZAN KAZANCHIAN
Credential	:
Telephone Number	:	818-830-0999

Provider Enumeration Date	:	07/26/2018
Last Update Date	:	07/26/2018

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