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NPI 1154865459

NPI 1154865459 : BLISSFUL HEALTHCARE SERVICES, INC. : VAN NUYS, CA

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General NPI Number Information
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    NPI Number           |    1154865459
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    Entity Type          |    Organization 
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    Legal Business Name  |    BLISSFUL HEALTHCARE SERVICES, INC. 
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Dates
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    Enumeration Date     |    12/06/2016
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    Last Update Date     |    12/06/2016
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Provider Practice Location Address
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    Address Line         |    6314 VAN NUYS BLVD #214
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    City                 |    VAN NUYS
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    State                |    CA
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    Zip                  |    91401-2625
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    Country              |    US
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    Telephone            |    818-281-7898
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    6314 VAN NUYS BLVD #214
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    City                 |    VAN NUYS
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    State                |    CA
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    Zip                  |    91401-2625
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    Country              |    US
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    Telephone            |    818-281-7898
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT/CEO
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    Name                 |     ROUBEN  DAVTYAN 
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    Credential           |    
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    Telephone            |    818-281-7898
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251E00000X
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    Taxonomy Name        |    Home Health Agency
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    License Number       |    
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    License Number State |    
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