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General NPI Number Information
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NPI Number | 1164508180
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Entity Type | Organization
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Legal Business Name | ARTESIA CHRISTIAN HOME, INC.
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Dates
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Enumeration Date | 10/31/2006
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Last Update Date | 01/21/2026
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Provider Practice Location Address
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Address Line | 11614 183RD ST
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City | ARTESIA
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State | CA
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Zip | 90701-5506
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Country | US
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Telephone | 562-865-5218
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Fax | 562-865-4153
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Provider Business Mailing Address
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Address Line | 11614 183RD ST
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City | ARTESIA
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State | CA
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Zip | 90701-5506
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Country | US
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Telephone | 562-865-5218
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Fax | 562-865-4153
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MICHELLE ROBISON
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Credential |
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Telephone | 562-865-5218
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 940000136
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License Number State | CA
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