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General NPI Number Information
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NPI Number | 1154466928
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Entity Type | Organization
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Legal Business Name | HOPE HOUSE FOR THE MULTIPLE-HANDICAPPED, INC.
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Dates
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Enumeration Date | 02/20/2007
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Last Update Date | 01/17/2024
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Provider Practice Location Address
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Address Line | 4215 PECK RD
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City | EL MONTE
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State | CA
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Zip | 91732-2113
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Country | US
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Telephone | 626-443-1313
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Fax | 626-443-1134
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Provider Business Mailing Address
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Address Line | 4215 PECK RD
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City | EL MONTE
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State | CA
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Zip | 91732-2113
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Country | US
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Telephone | 626-443-1313
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Fax | 626-443-1134
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. DAVID A. BERNSTEIN
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Credential | M.S.W.
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Telephone | 626-747-9311
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 315P00000X
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Taxonomy Name | Intellectual Disabilities Intermediate Care Facility
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License Number | 960000621
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 315P00000X
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Taxonomy Name | Intellectual Disabilities Intermediate Care Facility
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License Number | 960000699
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License Number State | CA
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