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General NPI Number Information
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NPI Number | 1023982923
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Entity Type | Organization
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Legal Business Name | PENDLETON HOUSE INC
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Dates
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Enumeration Date | 10/02/2025
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Last Update Date | 10/02/2025
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Provider Practice Location Address
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Address Line | 11901 WOOD RANCH RD
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City | GRANADA HILLS
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State | CA
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Zip | 91344-2144
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Country | US
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Telephone | 818-822-0911
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Fax | 818-308-6578
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Provider Business Mailing Address
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Address Line | 12016 PENDLETON ST
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City | SUN VALLEY
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State | CA
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Zip | 91352-3820
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Country | US
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Telephone | 818-822-0911
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Fax | 818-308-6578
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Authorized Official
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Title or Position | CEO
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Name | MARY MARO KARIBIAN
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Credential |
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Telephone | 818-822-0911
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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