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General NPI Number Information
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NPI Number | 1346980679
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Entity Type | Organization
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Legal Business Name | OPEN ARMS TEMPORARY LIVING
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Dates
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Enumeration Date | 04/01/2022
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Last Update Date | 10/20/2024
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Provider Practice Location Address
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Address Line | 839 W 66TH ST
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City | LOS ANGELES
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State | CA
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Zip | 90044-5309
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Country | US
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Telephone | 323-489-7571
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Fax |
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Provider Business Mailing Address
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Address Line | 839 W 66TH ST
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City | LOS ANGELES
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State | CA
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Zip | 90044-5309
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Country | US
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Telephone | 323-489-7571
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | GRIEAY THOMPSON
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Credential |
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Telephone | 323-489-7571
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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 | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #4
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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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