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General NPI Number Information
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NPI Number | 1528107273
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Entity Type | Organization
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Legal Business Name | HORIZONS ADULT DAY HEALTH CARE CENTER, INC.
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Dates
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Enumeration Date | 02/06/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1415 E 8TH ST STE 5
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City | NATIONAL CITY
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State | CA
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Zip | 91950-2663
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Country | US
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Telephone | 619-474-1822
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Fax |
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Provider Business Mailing Address
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Address Line | 1415 E 8TH ST STE 5
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City | NATIONAL CITY
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State | CA
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Zip | 91950-2663
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | VICE-PRESIDENT
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Name | MR. RUSLAN KRAS
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Credential |
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Telephone | 619-474-1822
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State | CA
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