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General NPI Number Information
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NPI Number | 1184222044
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Entity Type | Organization
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Legal Business Name | SHS SENIOR CARE LOS ANGELES INC
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Dates
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Enumeration Date | 10/13/2020
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Last Update Date | 10/13/2020
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Provider Practice Location Address
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Address Line | 8939 S SEPULVEDA BLVD STE 350
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City | LOS ANGELES
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State | CA
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Zip | 90045-3657
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Country | US
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Telephone | 310-878-2045
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Fax |
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Provider Business Mailing Address
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Address Line | 8939 S SEPULVEDA BLVD STE 350
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City | LOS ANGELES
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State | CA
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Zip | 90045-3657
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Country | US
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Telephone | 310-878-2045
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MOHAMED HASSAN
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Credential |
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Telephone | 310-878-2045
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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