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General NPI Number Information
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NPI Number | 1396098224
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Entity Type | Organization
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Legal Business Name | SECURE CARE FAMILY SERVICES, INC.
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Dates
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Enumeration Date | 10/16/2012
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Last Update Date | 10/16/2012
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Provider Practice Location Address
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Address Line | 5632 WENLOCK ST
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City | LOS ANGELES
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State | CA
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Zip | 90016-5035
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Country | US
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Telephone | 323-638-7237
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Fax |
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Provider Business Mailing Address
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Address Line | 6709 LA TIJERA BOULEVARD, NO. 517
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City | LOS ANGELES
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State | CA
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Zip | 90045-2017
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Country | US
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Telephone | 323-638-7237
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Fax | 323-488-9734
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Authorized Official
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Title or Position | CHEIF EXECUTIVE OFFICER
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Name | MRS. LYRIC ARMSTRONG
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Credential |
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Telephone | 323-638-7237
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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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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