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General NPI Number Information
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NPI Number | 1164501912
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Entity Type | Organization
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Legal Business Name | NEW HORIZON INTERATED CARE, ICF-DD HOME INC.
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Dates
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Enumeration Date | 11/03/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 8812 ATHENS CT
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City | ANAHEIM
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State | CA
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Zip | 92804-6204
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Country | US
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Telephone | 714-229-1730
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Fax | 714-229-1731
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Provider Business Mailing Address
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Address Line | PO BOX 4446
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City | GARDEN GROVE
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State | CA
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Zip | 92842-4446
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Country | US
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Telephone | 714-229-1730
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Fax | 714-229-1731
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Authorized Official
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Title or Position | ADMINISTRATTOR
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Name | MRS. NORMA LIM YU
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Credential | RN
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Telephone | 714-229-1730
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number |
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License Number State | CA
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