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General NPI Number Information
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NPI Number | 1033784202
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Entity Type | Organization
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Legal Business Name | SAFEWAY HOME FOR ELDERLY CARE
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Dates
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Enumeration Date | 05/20/2021
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Last Update Date | 05/20/2021
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Provider Practice Location Address
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Address Line | 8808 ENFIELD AVE
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City | SHERWOOD FOREST
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State | CA
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Zip | 91325-3131
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Country | US
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Telephone | 818-601-6666
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Fax | 818-241-4242
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Provider Business Mailing Address
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Address Line | 8808 ENFIELD AVE
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City | SHERWOOD FOREST
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State | CA
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Zip | 91325-3131
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Country | US
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Telephone | 818-601-6666
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Fax | 818-241-4242
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Authorized Official
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Title or Position | PRESIDENT
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Name | ANNETTE ZARGARYAN
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Credential |
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Telephone | 818-601-6666
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State |
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