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NPI 1407591985

NPI 1407591985 : TOUCH OF GRACE HOME HEALTH INC : SHERMAN OAKS, CA

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General NPI Number Information
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    NPI Number           |    1407591985
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    Entity Type          |    Organization 
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    Legal Business Name  |    TOUCH OF GRACE HOME HEALTH INC 
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Dates
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    Enumeration Date     |    04/29/2022
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    Last Update Date     |    04/29/2022
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Provider Practice Location Address
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    Address Line         |    15233 VENTURA BLVD STE 1306 
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    City                 |    SHERMAN OAKS
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    State                |    CA
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    Zip                  |    91403-2287
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    Country              |    US
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    Telephone            |    747-609-7918
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    Fax                  |    818-474-7171
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Provider Business Mailing Address
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    Address Line         |    15233 VENTURA BLVD STE 1306 
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    City                 |    SHERMAN OAKS
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    State                |    CA
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    Zip                  |    91403-2287
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    Country              |    US
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    Telephone            |    747-609-7918
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    Fax                  |    818-474-7171
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Authorized Official
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    Title or Position    |    CFO,CEO,SECRETARY
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    Name                 |     LILIT  KERIMYAN 
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    Credential           |    
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    Telephone            |    747-609-7918
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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