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General NPI Number Information
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NPI Number | 1487595138
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Entity Type | Organization
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Legal Business Name | ARK CARE HOME, LLC
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Dates
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Enumeration Date | 04/04/2026
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Last Update Date | 04/04/2026
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Provider Practice Location Address
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Address Line | 37616 RIBBON LN
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City | PALMDALE
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State | CA
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Zip | 93552-4031
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Country | US
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Telephone | 818-415-2653
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Fax | 661-526-4066
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Provider Business Mailing Address
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Address Line | 37616 RIBBON LN
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City | PALMDALE
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State | CA
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Zip | 93552-4031
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Country | US
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Telephone | 818-415-2653
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Fax | 661-526-4066
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | MR. RICHARD MANDAC
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Credential |
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Telephone | 818-415-2653
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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