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General NPI Number Information
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NPI Number | 1508153503
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Entity Type | Organization
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Legal Business Name | MGA HOME CARE SERVICES INCORPORATION
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Dates
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Enumeration Date | 06/29/2011
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Last Update Date | 01/09/2023
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Provider Practice Location Address
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Address Line | 16921 PARTHENIA ST STE 203
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City | NORTHRIDGE
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State | CA
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Zip | 91343-4559
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Country | US
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Telephone | 747-236-4372
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Fax | 818-936-0864
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Provider Business Mailing Address
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Address Line | 16921 PARTHENIA ST STE 203
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City | NORTHRIDGE
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State | CA
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Zip | 91343-4559
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Country | US
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Telephone | 747-236-4372
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Fax | 818-936-0864
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Authorized Official
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Title or Position | PRESIDENT/CEO/CFO
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Name | MR. VARDUHI GRIGORYAN
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Credential |
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Telephone | 747-236-4372
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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